NPIMap

Individual provider Active NPI

Courtney Taylor Lopata

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1851914451
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
501 Discovery Dr
Chesapeake, VA 23320-3832
Phone
(757) 547-5145
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

501 Discovery Dr
Chesapeake, VA 23320-3832

Mailing address

501 Discovery Dr
Chesapeake, VA 23320-3832
Phone (757) 547-5145

Other names 1

  • Courtney Taylor Rose Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201012002080 KS Practitioner - Physician Assistant 4385064435 Reassigns benefits to 1 organization
I20240325003458 VA Practitioner - Physician Assistant 4385064435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sport Medicine and Orthopaedic Center IncGroup PAC ID 8921046616, 24 clinicians

Practice addresses (Care Compare)

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

5801 Harbour View Blvd
Suite 200
Suffolk, VA 23435-2657
Phone 75754751453502

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopaedic Center CurrentSince Feb 26, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 1, 2020 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 1, 2020 Accepting new patients
Sport Medicine and Orthopaedic Center Inc Physician Assistant Past Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

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: courtney.lopata.1@24174.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 10

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1851914451",
    "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": "233203832",
            "telephone_number": "757-547-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DISCOVERY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203832",
            "telephone_number": "757-547-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPATA",
        "first_name": "COURTNEY",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ROSE",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.