NPIMap

Individual provider Active NPI

Daniel M Atienza, MD

  • Hematology & Oncology Physician
  • Suffolk, VA
National Provider Identifier
1912903279
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101054037 Issued in VA
Practice address
2790 Godwin Blvd Ste 101
Suffolk, VA 23434-8151
Phone
(757) 539-0670
Fax
(757) 539-1062
NPI assigned
Jun 22, 2005
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101054037 VA Primary

Addresses

Primary practice location

2790 Godwin Blvd Ste 101
Suffolk, VA 23434-8151

Mailing address

6350 Center Dr Ste 200
Norfolk, VA 23502-4107
Phone (757) 213-5700

Other practice location 1

150 Burnetts Way
Suite 310
Suffolk, VA 23434-8177
Phone (757) 539-0670

Other identifiers 3

IdentifierTypeStateIssuer
54530OtherVAOPTIMA
110183882OtherVARAILROAD MEDICARE
005820197MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050412001046 VA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4284694456
I20100803000470 NC Practitioner - Hematology/Oncology 4284694456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Oncology AssociatesGroup PAC ID 2769395797, 100 clinicians

Practice addresses (Care Compare)

3910 Bridge Rd
Suite 400
Suffolk, VA 23435-1195
Phone (757) 484-0215

6350 Ctr Dr
Suite 200
Norfolk, VA 23502-4107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101054037VAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Oncology Associates Hematology & Oncology CurrentSince Jan 22, 1998 Accepting new patients
Virginia Oncology Associates CurrentSince Jan 1, 1998 Accepting new patients

Locations

905 Thunder Rd
Ste 250
Elizabeth City, NC 27909
Phone (252) 331-2044

1503 N Road St
#B
Elizabeth Cty, NC 27909
Phone (252) 331-2044

744 Battlefield Blvd N
#200
Chesapeake, VA 23320
Phone (757) 549-4403

3000 Coliseum Dr
Ste 104
Hampton, VA 23666
Phone (757) 827-9400

1051 Loftis Blvd
Ste 100
Newport News, VA 23606
Phone (757) 873-9400

5900 Lake Wright Dr
Norfolk, VA 23502
Phone (757) 466-8683

6251 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 466-8683

6350 Center Dr
Ste 200
Norfolk, VA 23502

150 Burnetts Way
Ste 310
Suffolk, VA 23434
Phone (757) 539-0670

2790 Godwin Blvd
Ste 101
Suffolk, VA 23434
Phone (757) 539-0670

3910 Bridge Rd
Ste 400
Suffolk, VA 23435
Phone (757) 484-0215

5838 Harbour View Blvd
Ste 105
Suffolk, VA 23435
Phone (757) 484-0215

1950 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 368-0437

500 Sentara Cir
Ste 203
Williamsburg, VA 23188
Phone (757) 229-2236

Interoperability endpoints

  • Direct secure messaging: daniel.atienza@voa.ikm.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1912903279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 CENTER DR STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024107",
            "telephone_number": "757-213-5700",
            "fax_number": "757-213-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348151",
            "telephone_number": "757-539-0670",
            "fax_number": "757-539-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Burnetts Way",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348177",
            "country_code": "US",
            "telephone_number": "757-539-0670",
            "fax_number": "757-539-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101054037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "54530",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110183882",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005820197",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.