Individual provider Active NPI

Stephen Leonard Noble, M.D.

  • Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1861697278
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101258824 Issued in VA
Practice address
113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714
Phone
(757) 842-4499
Fax
(757) 842-4490
NPI assigned
Jun 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101258824 VA Primary

Addresses

Primary practice location

113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714

Mailing address

667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481

Other practice location 1

1138 N Road St
Elizabeth City, NC 27909-3353
Phone (252) 335-4890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snoble1250345@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OR, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171128000484 VA Practitioner - Thoracic Surgery 2264669225 Reassigns benefits to 1 organization
I20220221001240 OR Practitioner - Thoracic Surgery 2264669225 Reassigns benefits to 1 organization
I20250409003284 NC Practitioner - Thoracic Surgery 2264669225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

113 Gainsborough SQ
Chesapeake, VA 23320-1714

300 Medical Pkwy
Chesapeake, VA 23320-4985

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6102

744 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-3132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101258824VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group Surgery CurrentSince Jan 1, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 14, 2022 Accepting new patients
Chesapeake Regional Medical Group Surgery CurrentSince Mar 1, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 14, 2022 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Jan 1, 2022 Accepting new patients

Locations

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

501 N Graham St
Ste 220
Portland, OR 97227
Phone (503) 413-4710

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167

Interoperability endpoints

  • Direct secure messaging: snoble1250345@wm.providencedirect.org
  • Direct secure messaging: stephen.noble.1@5072.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1861697278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204999",
            "telephone_number": "757-842-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GAINSBOROUGH SQ STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201714",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 N Road St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093353",
            "country_code": "US",
            "telephone_number": "252-335-4890",
            "fax_number": "252-335-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "STEPHEN",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-16",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101258824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snoble1250345@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 Lilly Rd NE Ste 200",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.