Individual provider Active NPI

Kristl Vidya Dorschner Tomlin, M.D.

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
National Provider Identifier
1861757304
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101282257 Issued in VA
Practice address
1924 Landstown Centre Way
Virginia Beach, VA 23456-1624
Phone
(757) 668-9330
Fax
(757) 668-7721
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101282257 VA Primary

Addresses

Primary practice location

1924 Landstown Centre Way
Virginia Beach, VA 23456-1624

Mailing address

PO Box 843035
Boston, MA 02284-3035
Phone (757) 668-7200

Other names 1

  • Kristl Vidya Dorschner Former name

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
I20241004002129 VA Practitioner - Obstetrics/Gynecology 6608143409 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC CurrentSince Sep 1, 2024 Accepting new patients
Livi Medical Services LLC Family Medicine PastSince Aug 26, 2024 Accepting new patients

Locations

11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

301 Riverview Ave
Norfolk, VA 23510
Phone (757) 668-7713

5834 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 668-4570

1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1861757304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843035",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843035",
            "telephone_number": "757-668-7200",
            "fax_number": "757-668-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 LANDSTOWN CENTRE WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561624",
            "telephone_number": "757-668-9330",
            "fax_number": "757-668-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSCHNER TOMLIN",
        "first_name": "KRISTL",
        "middle_name": "VIDYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101282257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTL",
            "last_name": "DORSCHNER",
            "middle_name": "VIDYA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.