NPIMap

Individual provider Active NPI

Anthony Joseph Cavallo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Virginia Beach, VA
National Provider Identifier
1932461936
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301189 Issued in VA
Practice address
5253 Providence Rd Ste 100
Virginia Beach, VA 23464-4201
Phone
(757) 252-4640
Fax
(757) 510-9343
NPI assigned
Jun 14, 2012
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0116024925 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301189 VA Primary

Addresses

Primary practice location

5253 Providence Rd Ste 100
Virginia Beach, VA 23464-4201

Mailing address

5253 Providence Rd Ste 100
Virginia Beach, VA 23464-4201
Phone (757) 252-4640

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-6141

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
I20170206000713 VA Practitioner - Podiatry 8820303522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2012
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)

5253 Providence Rd
Suite 100
Virginia Beach, VA 23464-4201
Phone (757) 495-6113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of skin lesions1-10
Removal of nail tissue80
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0116024925VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Feb 6, 2017 Accepting new patients
Annapolis Foot and Ankle Center PastSince Jul 15, 2015 Accepting new patients

Locations

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

5253 Providence Rd
Ste 100
Virginia Beach, VA 23464
Phone (757) 252-4640

Interoperability endpoints

  • Direct secure messaging: acavallo286833@direct.sentara.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1932461936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 PROVIDENCE RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644201",
            "telephone_number": "757-252-4640",
            "fax_number": "757-510-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 PROVIDENCE RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644201",
            "telephone_number": "757-252-4640",
            "fax_number": "757-510-9343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVALLO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0116024925",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.