Active NPI
Alexander Patrick Athanase, MD
- Family Medicine Physician
- Norfolk, VA
National Provider Identifier
1831839539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101283706
- Practice address
- 155 Kingsley LN Ste 400
Norfolk, VA 23505-4629 - Phone
- (757) 278-2240
- NPI assigned
- Mar 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101283706 | VA | Primary |
| Family Medicine Physician | 207Q00000X | 57.253484 | OH |
Addresses
Primary practice location
155 Kingsley LN Ste 400
Norfolk, VA 23505-4629
Mailing address
2031 Belmont Ave
Youngstown, OH 44505-2401
Phone (330) 480-3605
Other practice location 1
1053 Belmont Ave
Youngstown, OH 44504-1007
Phone (330) 480-3605
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
155 Kingsley LN
Norfolk, VA 23505-4629
Phone (757) 278-2240
3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225
Hospital & facility affiliations
- Bon Secours Home Care
- Bon Secours Maryview Medical Center
- Sentara Leigh Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.253484 | OH | MD | Family Medicine Physician |
| 0101283706 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Primary Care LLC | Current | Accepting new patients |
Locations
4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000
155 Kingsley Ln
Ste 400
Norfolk, VA 23505
Phone (757) 278-2240
3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225
Interoperability endpoints
- aathanase1243120@direct.bsmhealth.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1528627379
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Suffolk, VA
- NPI 1508684457
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1831839539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052401",
"telephone_number": "330-480-3605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 KINGSLEY LN STE 400",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054629",
"telephone_number": "757-278-2240"
}
],
"practiceLocations": [
{
"address_1": "1053 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445041007",
"country_code": "US",
"telephone_number": "330-480-3605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATHANASE",
"first_name": "ALEXANDER",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101283706",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "57.253484",
"primary": false
}
],
"identifiers": [],
"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 Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.