Active NPI
Romesh K. Khardori, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Norfolk, VA
National Provider Identifier
1811984602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101249674
- Practice address
- 855 W Brambleton Ave
Norfolk, VA 23510-1005 - Phone
- (757) 446-5908
- Fax
- (757) 446-7055
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101249674 | VA | Primary |
Addresses
Primary practice location
855 W Brambleton Ave
Norfolk, VA 23510-1005
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-5908
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811984602 | Other | VA | UNITED HEALTHCARE/MAMSI |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | CIGNA |
| -033 | Other | VA | TRICARE/CHAMPUS |
| 10080949 | Other | VA | OPTIMA HEALTH |
| PAR | Other | VA | AETNA |
| 5918376 | Medicaid | NC | |
| PAR | Other | VA | CORVEL |
| 1811984602 | Other | VA | FIRST HEALTH NETWORK/SOUTHERN HEALTH/COVENTRY NATIONAL |
| 1811984602 | Medicaid | VA | |
| PAR | Other | VA | MULTIPLAN |
| 1811984602 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| 442639 | Other | VA | ANTHEM BC/BS |
| PAR | Other | VA | VIRGINIA HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101249674 | VA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1811984602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-446-5908",
"fax_number": "757-446-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 W BRAMBLETON AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101005",
"telephone_number": "757-446-5908",
"fax_number": "757-446-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHARDORI",
"first_name": "ROMESH",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101249674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE/MAMSI",
"identifier": "1811984602",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-033",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "10080949",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5918376",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NETWORK/SOUTHERN HEALTH/COVENTRY NATIONAL",
"identifier": "1811984602",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811984602",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH PLAN",
"identifier": "1811984602",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "442639",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.