Individual provider Active NPI

Deniz O Goss, P.A.

  • Surgical Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1821094806
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110001438 Issued in VA
Practice address
501 Discovery Drive
Chesapeake, VA 23320
Phone
(757) 547-5145
Fax
(757) 436-2480
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110001438 VA Primary

Addresses

Primary practice location

501 Discovery Drive
Chesapeake, VA 23320

Mailing address

501 Discovery Dr
Chesapeake, VA 23320-3843
Phone (757) 547-5145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000209 VA Practitioner - Physician Assistant 4486797503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Burnetts Way
Suite 100
Suffolk, VA 23434-8168
Phone 75754751453502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.83 of 100Reported as group
Quality
47.9
Promoting interoperability
99
Improvement activities
40
Cost
79.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001438VAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopaedic Center CurrentSince Mar 1, 2003 Accepting new patients
Sport Medicine and Orthopaedic Center Inc Past Accepting new patients

Locations

814 Greenbrier Cir
Ste F
Chesapeake, VA 23320
Phone (757) 842-7010

501 Discovery Dr
Chesapeake, VA 23320
Phone (757) 842-7010

5801 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone 75754751453502

150 Burnetts Way
Ste 100
Suffolk, VA 23434
Phone 75754751453502

Interoperability endpoints

  • Direct secure messaging: deniz.goss.1@24174.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1821094806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DISCOVERY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203843",
            "telephone_number": "757-547-5145",
            "fax_number": "757-312-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DISCOVERY DRIVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-547-5145",
            "fax_number": "757-436-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "DENIZ",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110001438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.