NPIMap

Individual provider Active NPI

Emma C Robl, DO

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1922560218
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206401 Issued in VA
Practice address
1016 Justis St
Chesapeake, VA 23325-2516
Phone
(757) 420-8297
Fax
(757) 523-5639
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0102206401 VA Primary

Addresses

Primary practice location

1016 Justis St
Chesapeake, VA 23325-2516

Mailing address

860 Omni Blvd Ste 128
Newport News, VA 23606-4430
Phone (757) 232-8769

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
I20220613002891 VA Practitioner - Family Practice 1052642220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

1016 Justis St
Chesapeake, VA 23325-2516
Phone (757) 420-8297

Hospital & facility affiliations

  • Interim Healthcare Home health agency, Virginia Beach, VA, CCN 497264
  • 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
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 1, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 12, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

1016 Justis St
Chesapeake, VA 23325
Phone (757) 420-8297

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

11761 Rock Landing Dr
Ste 8
Newport News, VA 23606

13195 Warwick Blvd
Ste 2C
Newport News, VA 23602
Phone (804) 877-4221

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 128
Newport News, VA 23606

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 3

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 9

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1922560218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 128",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 JUSTIS ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233252516",
            "telephone_number": "757-420-8297",
            "fax_number": "757-523-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBL",
        "first_name": "EMMA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.