Individual provider Active NPI

Aida Kalley, MD

  • General Practice Physician
  • Virginia Beach, VA
National Provider Identifier
1841201563
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101232965 Issued in VA
Practice address
236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893
Phone
(757) 853-1380
NPI assigned
Aug 10, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0101232965 VA
General Practice Physician 208D00000X 0101232965 VA Primary

Addresses

Primary practice location

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 434-6169

Other practice location 1

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 349-0595

Other practice location 2

7229 Forest Ave
STE 111 Highland II building
Richmond, VA 23226-3765
Phone (248) 434-6169

Other identifiers 2

IdentifierTypeStateIssuer
005873916MedicaidVA
010056233MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040407001351 DC Practitioner - Emergency Medicine 1456344092 Reassigns benefits to 1 organization
I20140715000277 VA Practitioner - Emergency Medicine 1456344092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Springfield, VA 22150
Phone (571) 642-3433

Williamsburg, VA 23185
Phone (757) 941-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101232965VAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC General Practice Current Accepting new patients
Vpa PC General Practice CurrentSince Aug 1, 2023 Accepting new patients
Virginia Emergency Medicine Assoicates, LTD Emergency Medical Services CurrentSince Jan 7, 2014 Accepting new patients
Vpa PC General Practice CurrentSince Aug 1, 2023 Accepting new patients
Charles Emergency Physicians PA Past Accepting new patients

Locations

7229 Forest Ave
Ste 111
Richmond, VA 23226
Phone (804) 687-4793

6225 Brandon Ave
Ste 365
Springfield, VA 22150
Phone (571) 642-3433

236 Clearfield Ave
Ste 215
Virginia Beach, VA 23462
Phone (757) 561-2800

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

Interoperability endpoints

  • Direct secure messaging: aida.fall.kalley.1@32913.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1841201563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CLEARFIELD AVE STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621893",
            "telephone_number": "757-853-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863027",
            "country_code": "US",
            "telephone_number": "540-349-0595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7229 Forest Ave",
            "address_2": "STE 111 Highland II building",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263765",
            "country_code": "US",
            "telephone_number": "248-434-6169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLEY",
        "first_name": "AIDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101232965",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101232965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005873916",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010056233",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.