NPIMap

Individual provider Active NPI

Anthony Michael Bevilacqua, D.O.

  • Orthopaedic Surgery Physician
  • Suffolk, VA
National Provider Identifier
1912903998
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0102037163 Issued in VA
Practice address
150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168
Phone
(757) 547-5145
Fax
(757) 539-7488
NPI assigned
Jun 23, 2005
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2019-02810 NC
Orthopaedic Surgery Physician 207X00000X 0102037163 VA Primary

Addresses

Primary practice location

150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168

Mailing address

501 Discovery Dr
Chesapeake, VA 23320-3843
Phone (757) 547-5145

Other practice location 1

600 Gresham Dr Ste 204
Norfolk, VA 23507-1904
Phone (757) 388-5680

Other practice location 2

1144 N Road St Ste 200
Elizabeth City, NC 27909-3473
Phone (252) 384-2360

Other identifiers 1

IdentifierTypeStateIssuer
010163005MedicaidVA

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
I20050422000366 VA Practitioner - Orthopedic Surgery 0547225377 Reassigns benefits to 4 organizations
I20191112001753 NC Practitioner - Orthopedic Surgery 0547225377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

150 Burnetts Way
Suite 100
Suffolk, VA 23434-8168
Phone 75754751453502

1933 Edwin Dr
Chesapeake, VA 23322-6531

600 Gresham Dr
Norfolk, VA 23507-1904

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement52
Knee replacement56
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-02810NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Dec 10, 2020 Accepting new patients
Sport Medicine and Orthopaedic Center Inc Orthopaedic Surgery CurrentSince Jun 1, 2005 Accepting new patients
Dominion Health Medical Assoc. CurrentSince Mar 1, 2020 Accepting new patients
Sentara Medical Group Orthopaedic Surgery CurrentSince Feb 7, 2009 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Nov 11, 2019 Accepting new patients
Dominion Health Medical Assoc CurrentSince Mar 1, 2020 Accepting new patients
Sports Medicine and Orthopaedic Center CurrentSince Jun 1, 2005 Accepting new patients
RMH Medical Group LLC CurrentSince Dec 10, 2020 Accepting new patients
Albemarle Physician Services - Sentara, Inc Orthopaedic Surgery CurrentSince Nov 11, 2019 Accepting new patients
Primary Health Group Inc Past Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

1144 N Road St
Ste 200
Elizabeth City, NC 27909
Phone (252) 384-2360

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

501 Discovery Dr
Chesapeake, VA 23320
Phone (757) 842-7010

814 Greenbrier Cir
Ste F
Chesapeake, VA 23320
Phone (757) 842-7010

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

600 Gresham Dr
Ste 204
Norfolk, VA 23507
Phone (757) 388-5680

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2509 Pleasant Run Dr
Rockingham, VA 22801
Phone (540) 689-4500

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

422 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-4074

150 Burnetts Way
Ste 100
Suffolk, VA 23434
Phone (757) 539-2037

150 Burnetts Way
Ste 230
Suffolk, VA 23434
Phone (757) 942-2022

5801 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone 75754751453502

Interoperability endpoints

  • Direct secure messaging: abevilacqua4049@direct.sentara.net
  • Direct secure messaging: anthony.bevilacqua.1@24174.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1912903998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DISCOVERY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203843",
            "telephone_number": "757-547-5145",
            "fax_number": "757-312-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY",
            "address_2": "STE. 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-547-5145",
            "fax_number": "757-539-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-5680",
            "fax_number": "757-388-5681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1144 N Road St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093473",
            "country_code": "US",
            "telephone_number": "252-384-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVILACQUA",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2019-02810",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0102037163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010163005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.