NPIMap

Individual provider Active NPI

Christen Crisostomo, MD

  • Family Medicine Physician
  • Suffolk, VA
National Provider Identifier
1891985172
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116016238 Issued in VA
Practice address
2401 Godwin Blvd
Suite 3
Suffolk, VA 23434-8178
Phone
(757) 923-9660
Fax
(757) 923-9665
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116016238 VA Primary

Addresses

Primary practice location

2401 Godwin Blvd
Suite 3
Suffolk, VA 23434-8178

Mailing address

3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone (757) 686-3508

Other identifiers 1

IdentifierTypeStateIssuer
1891985172MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000585 VA Practitioner - Family Practice 5496835563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

1419 Cedar Rd
Chesapeake, VA 23322-7492
Phone (757) 842-6180

Hospital & facility affiliations

  • @Heart Homecare Home health agency, Virginia Beach, VA, CCN 497744
  • Westminster-Canterbury at Home, LLC Home health agency, Virginia Beach, VA, CCN 497682
  • Commonwealth Home Care Home health agency, Portsmouth, VA, CCN 497775
  • Amedisys Home Health of Newport News Home health agency, Hampton, VA, CCN 497091
  • Comfort Care Home Health and Hospice Home health agency, Chesapeake, VA, CCN 497279
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116016238VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Sep 1, 2007 Accepting new patients
Bayview Physician Services, PC Family Medicine CurrentSince Sep 1, 2007 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Bayview Physician Services, PC Past Accepting new patients

Locations

1419 Cedar Rd
Chesapeake, VA 23322
Phone (757) 842-6180

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

725 Volvo Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 548-0076

1419 Cedar Rd
Ste 101
Chesapeake, VA 23322
Phone (757) 842-6180

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

2401 Godwin Blvd
Ste 3
Suffolk, VA 23434
Phone (757) 923-9660

Interoperability endpoints

  • Direct secure messaging: christen.crisostomo@bayview.eclinicaldirectplus.com

Organizations & group practices 4

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1891985172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 WESTERN BRANCH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215260",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GODWIN BLVD",
            "address_2": "SUITE 3",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348178",
            "telephone_number": "757-923-9660",
            "fax_number": "757-923-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "CHRISTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116016238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891985172",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.