Individual provider Active NPI

Robert M Campolattaro, MD

  • Orthopaedic Hand Surgery Physician
  • Hampton, VA
National Provider Identifier
1861490906
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
0101235876 Issued in VA
Practice address
901 Enterprise Parkway
Suite 900
Hampton, VA 23666
Phone
(757) 827-2480
Fax
(757) 827-2566
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101235876 VA
Orthopaedic Hand Surgery Physician 207XS0106X 0101235876 VA Primary

Addresses

Primary practice location

901 Enterprise Parkway
Suite 900
Hampton, VA 23666

Mailing address

901 Enterprise Parkway
Suite 900
Hampton, VA 23666
Phone (757) 827-2480

Other practice location 1

4037 Ironbound Rd
Williamsburg, VA 23188-2507
Phone (757) 206-1004

Other practice location 2

3920A Bridge Rd Ste 305
Suffolk, VA 23435-1126
Phone (757) 251-2971

Other identifiers 1

IdentifierTypeStateIssuer
3001646825MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720001344 VA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 7517947765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Orthopaedic Associates Inc.Group PAC ID 2466345814, 26 clinicians

Practice addresses (Care Compare)

901 Enterprise Pkwy
Suite 900
Hampton, VA 23666-6250
Phone (757) 827-2480

Hospital & facility affiliations

  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

Merit-based Incentive Payment System (MIPS)

Final score
94.1 of 100Reported as group
Quality
91.92
Promoting interoperability
97
Improvement activities
40
Cost
90.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Orthopaedic Associates Inc Orthopaedic Surgery CurrentSince Sep 1, 2004 Accepting new patients
Tidewater Orthopaedic Associates Inc Orthopaedic Surgery CurrentSince Sep 1, 2004 Accepting new patients
Careplex Orthopaedic Ambulatory Surgery Center, LLC Past Accepting new patients

Locations

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

901 Enterprise Pkwy
Ste 900
Hampton, VA 23666
Phone (757) 827-2480

3920A Bridge Rd
Ste 305
Suffolk, VA 23435
Phone (757) 251-2971

4037 Ironbound Rd
Williamsburg, VA 23188
Phone (757) 206-1004

Interoperability endpoints

  • Direct secure messaging: robert.campolattaro@toa.eclinicaldirectplus.com

Organizations & group practices 3

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 5

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1861490906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PARKWAY",
            "address_2": "SUITE 900",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "757-827-2480",
            "fax_number": "757-827-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PARKWAY",
            "address_2": "SUITE 900",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "757-827-2480",
            "fax_number": "757-827-2566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 Ironbound Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882507",
            "country_code": "US",
            "telephone_number": "757-206-1004",
            "fax_number": "757-645-3965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920A Bridge Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234351126",
            "country_code": "US",
            "telephone_number": "757-251-2971",
            "fax_number": "757-828-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOLATTARO",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101235876",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VA",
            "license": "0101235876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001646825",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.