NPIMap

Organization Active NPI

Sentara Enterprises

Doing business as Sentara Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Chesapeake, VA
National Provider Identifier
1942075460
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
SENTARA ENTERPRISES
Doing business as
Sentara Palliative Care
Practice address
535 Independence Pkwy Ste 200
Chesapeake, VA 23320-5176
Phone
(757) 553-3000
NPI assigned
Nov 15, 2023
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Paul A Gaden
Title
President
Phone
(757) 553-3427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

535 Independence Pkwy Ste 200
Chesapeake, VA 23320-5176

Mailing address

535 Independence Pkwy Ste 200
Chesapeake, VA 23320-5176
Phone (757) 553-3000

Other names 1

  • Sentara Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240405001297 VA Part B Supplier - Clinic/Group Practice 6608770151 Receives reassigned benefits from 2 practitioners
Practice locations: Chesapeake, VA

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Sentara Enterprises19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

535 Independence Pkwy
Ste 500
Chesapeake, VA 23320
Phone (757) 395-6636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1942075460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 INDEPENDENCE PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205176",
            "telephone_number": "757-553-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 INDEPENDENCE PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205176",
            "telephone_number": "757-553-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "GADEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-553-3427"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.