Individual provider Active NPI

Cara M Depanfilis, PAC

  • Medical Physician Assistant
  • Norfolk, VA
National Provider Identifier
1922003508
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110001570 Issued in VA
Practice address
5900 Lake Wright Dr
Norfolk, VA 23502-1871
Phone
(757) 466-8683
Fax
(757) 466-8892
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110001570 VA Primary

Addresses

Primary practice location

5900 Lake Wright Dr
Norfolk, VA 23502-1871

Mailing address

5900 Lake Wright Dr
Suite 300
Norfolk, VA 23502-1871
Phone (757) 213-5700

Other identifiers 1

IdentifierTypeStateIssuer
73648OtherVAOPTIMA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070409000526 VA Practitioner - Physician Assistant 9830293497

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2002
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)

6251 E Virginia Beach Blvd
Suite 200
Norfolk, VA 23502-2800
Phone (757) 466-8683

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001570VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Oncology Associates CurrentSince Apr 4, 2003 Accepting new patients
Virginia Oncology Associates CurrentSince Apr 4, 2003 Accepting new patients

Locations

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

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

5900 Lake Wright Dr
Ste 300
Norfolk, VA 23502
Phone (757) 466-8683

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

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

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

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: cara.depanfilis@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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1922003508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "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": "5900 LAKE WRIGHT DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-466-8683",
            "fax_number": "757-466-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPANFILIS",
        "first_name": "CARA",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "73648",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.