Active NPI
Deena S Obrokta, DO
- Pediatrics Physician
- Newport News, VA
National Provider Identifier
1871501171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102050070
- Practice address
- 606 Denbigh Blvd
Suite 400
Newport News, VA 23608-4413 - Phone
- (757) 883-0780
- Fax
- (757) 883-0783
- NPI assigned
- Aug 3, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0102050070 | VA | Primary |
Addresses
Primary practice location
606 Denbigh Blvd
Suite 400
Newport News, VA 23608-4413
Mailing address
606 Denbigh Blvd
Suite 400
Newport News, VA 23608-4413
Phone (757) 883-0780
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010134951 | Medicaid | VA | |
| 174020 | Other | VA | ANTHEM |
| 5330435 | Other | AETNA | |
| 42040 | Other | VA | SENTARA |
| 9626040 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102050070 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871501171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 DENBIGH BLVD",
"address_2": "SUITE 400",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236084413",
"telephone_number": "757-883-0780",
"fax_number": "757-883-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 DENBIGH BLVD",
"address_2": "SUITE 400",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236084413",
"telephone_number": "757-883-0780",
"fax_number": "757-883-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBROKTA",
"first_name": "DEENA",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102050070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010134951",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "174020",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5330435",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "42040",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9626040",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
- Paa-Kofi Beniako Obeng, D.O.
- Allison Obershaw, LMT
- Promise Ifeoma Obianozie, MD
- Eric V. Obie, MD
- James Augustine Obrien, CRNA MSN
- Shauna Evelyn Ocasio Harris, NP
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Caroline Adhiambo Choka Ochieng, FNP
- Timothy Andrew Oconnell, M.D.
- Lisa Odabasi, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.