Mohammad Reza Abolhassani, M.D.
Individual provider Active NPI Internal Medicine Physician · Norfolk, VA
NPI 1932297702 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1932297702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101242569 (VA)
- Practice address
- 830 Kempsville Rd FL 1
Norfolk, VA 23502-3920 - Phone
- (757) 261-8070
- Fax
- (757) 995-7095
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sentara Medical Group
Practice addresses (Care Compare)
830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860
Hospital & facility affiliations
- Sentara Leigh Hospital
- Sentara Princess Anne Hospital
- Sentara Virginia Beach General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080417000454 | VA | Practitioner - Internal Medicine |
8921909664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242569 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current |
Accepting new patients |
| Sentara Medical Group | Past |
Accepting new patients |
Locations
830 Kempsville Rd
Fl 1
Norfolk, VA 23502
Phone (757) 261-8070
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
830 Kempsville Rd
Rm 2B223
Norfolk, VA 23502
Phone (757) 261-8860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0101242569 | VA | |
| Internal Medicine Physician | 207R00000X | 0101242569 | VA | Yes |
Addresses
Primary practice location
830 Kempsville Rd FL 1
Norfolk, VA 23502-3920
Mailing address
830 Kempsville Rd FL 1
Norfolk, VA 23502-3920
Phone (757) 261-8070
Other practice location 1
110 Kingsley Ln
Suite 309
Norfolk, VA 23505-4614
Phone (757) 889-2006
Other providers in Norfolk, VA
- Rachele Anne Abel
- Stacey Fiona Abernathy
- Abilene Care Supplies
- Adam Abin
- Abode Care Partners Al VB, LLC
- About Behavior Change, LLC
- Above and Beyond Quality Home Care LLC
- Anne Chisman Abraham
- Marc J Abrams
- Salahadin Abubakar
All providers in Norfolk, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.