Individual provider Active NPI

Deepak Deshmukh, D.O.

  • Vascular Surgery Physician
  • Norfolk, VA
National Provider Identifier
1942224522
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0102202283 Issued in VA
Practice address
600 Gresham Dr
Ste 8620
Norfolk, VA 23507-1904
Phone
(757) 622-2649
Fax
(757) 625-0433
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 0102202283 VA Primary

Addresses

Primary practice location

600 Gresham Dr
Ste 8620
Norfolk, VA 23507-1904

Mailing address

600 Gresham Dr
Ste 8620
Norfolk, VA 23507-1904
Phone (757) 622-2649

Other practice location 1

500 J Clyde Morris Blvd # 603
Newport News, VA 23601-1929
Phone (757) 534-5340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080813000774 VA Practitioner - Vascular SurgeryPractitioner - General Surgery 0749355584 Reassigns benefits to 3 organizations
I20210212000564 DC Practitioner - Vascular SurgeryPractitioner - General Surgery 0749355584 Reassigns benefits to 4 organizations
I20230113000288 MD Practitioner - Vascular Surgery 0749355584

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Cardiology Associates, LLCGroup PAC ID 6002714649, 32 clinicians
Vascular Institute of Virginia LLCGroup PAC ID 4587832944, 10 clinicians

Practice addresses (Care Compare)

1019 Brightseat Rd
Hyattsville, MD 20785-3738
Phone (301) 552-1200

13135 Route 50
Fairfax, VA 22033-1907
Phone (703) 763-5224

14085 Crown CT
Woodbridge, VA 22193-1458

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as group
Quality
95
Promoting interoperability
97
Improvement activities
40
Cost
68.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102202283VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Cardiology Associates, LLC CurrentSince Dec 1, 2025 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC CurrentSince Feb 1, 2025 Accepting new patients
Metropolitan Vascular Institute LLC CurrentSince Dec 1, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC CurrentSince Feb 1, 2025 Accepting new patients
Vascular Institute of Virginia LLC CurrentSince Mar 1, 2021 Accepting new patients
Lewis Gale Physicians LLC CurrentSince Sep 12, 2023 Accepting new patients
Sentara Medical Group CurrentSince Jan 1, 2008 Accepting new patients

Locations

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

1019 Brightseat Rd
Landover, MD 20785
Phone (301) 350-6009

8116 Good Luck Rd
Ste 305
Lanham, MD 20706
Phone (301) 486-7580

9701 Apollo Dr
Ste 200
Largo, MD 20774
Phone (301) 773-0120

3015 Technology Pl
Ste 100
Waldorf, MD 20601
Phone (301) 374-8540

12070 Old Line Ctr
Ste 210
Waldorf, MD 20602
Phone (240) 629-3952

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

20905 Professional Plz
Ste 310
Ashburn, VA 20147
Phone (703) 273-9267

3020 Hamaker Ct
Ste 201
Fairfax, VA 22031
Phone (703) 207-0073

13135 Route 50
Ste 145
Fairfax, VA 22033
Phone (703) 378-1360

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

1440 Central Park Blvd
Ste 108
Fredericksburg, VA 22401
Phone (703) 763-5224

1313 Dolley Madison Blvd
Ste 403
McLean, VA 22101
Phone (703) 556-8637

1860 Town Center Dr
Ste 220
Reston, VA 20190
Phone (703) 391-0211

1760 Reston Pkwy
Ste 310
Reston, VA 20190
Phone (703) 471-4600

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

945 Garrisonville Rd
Stafford, VA 22556
Phone (540) 720-0700

14085 Crown Ct
Woodbridge, VA 22193
Phone (703) 763-5224

Interoperability endpoints

  • Direct secure messaging: ddeshmukh926804@direct.umm.edu

Organizations & group practices 9

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 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1942224522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "address_2": "STE 8620",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-622-2649",
            "fax_number": "757-625-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "address_2": "STE 8620",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-622-2649",
            "fax_number": "757-625-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 J Clyde Morris Blvd # 603",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-534-5340",
            "fax_number": "757-594-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHMUKH",
        "first_name": "DEEPAK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0102202283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.