NPIMap

Individual provider Active NPI

Manoj Chawla, MD

  • Internal Medicine Physician
  • Newport News, VA
National Provider Identifier
1922598572
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101266816 Issued in VA
Practice address
1000 Old Denbigh Blvd # 1020a
Newport News, VA 23602
Phone
(757) 875-2009
Fax
(757) 369-1042
NPI assigned
May 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101266816 VA Primary

Addresses

Primary practice location

1000 Old Denbigh Blvd # 1020a
Newport News, VA 23602

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

302 Husson Ave Ste 1
Bangor, ME 04401-3373
Phone (207) 947-6141

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
I20190819001286 VA Practitioner - Internal Medicine 6901152255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Hampton Roads Primary Care LLCGroup PAC ID 0941632756, 62 clinicians

Practice addresses (Care Compare)

3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225

7185 Harbour Towne Pkwy S
Suite 206
Suffolk, VA 23435-3896
Phone (757) 484-5828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101266816VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Bon Secours Medical Group Hampton Roads Primary Care LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Aug 12, 2019 Accepting new patients
Riverside Physician Services Inc CurrentSince Aug 12, 2019 Accepting new patients
Riverside Physician Services Inc PastSince Jul 25, 2019 Accepting new patients

Locations

856 J Clyde Morris Blvd
Ste C
Newport News, VA 23601
Phone (757) 316-5725

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

1000 Old Denbigh Blvd
#1020A
Newport News, VA 23602
Phone (757) 875-2009

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

Interoperability endpoints

  • Direct secure messaging: mchawla1206127@direct.bsmhealth.org

Organizations & group practices 5

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 11

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1922598572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OLD DENBIGH BLVD # 1020A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-875-2009",
            "fax_number": "757-369-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Husson Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013373",
            "country_code": "US",
            "telephone_number": "207-947-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101266816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.