Individual provider Active NPI

Peter Birk, M.D.

  • Pulmonary Disease Physician
  • Virginia Beach, VA
National Provider Identifier
1962401406
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101029919 Issued in VA
Practice address
1026 Caton Dr
Virginia Beach, VA 23454-3140
Phone
(757) 650-1723
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101029919 VA Primary

Addresses

Primary practice location

1026 Caton Dr
Virginia Beach, VA 23454-3140

Mailing address

1026 Caton Dr
Virginia Beach, VA 23454-3140
Phone (757) 650-1723

Other identifiers 1

IdentifierTypeStateIssuer
6079741MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000621 VA Practitioner - Pulmonary Disease 7719021963 Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
State University of Ny Upstate Medical University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1026 Caton Dr
Virginia Beach, VA 23454-3140
Phone (757) 650-1723

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101029919VAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients

Organizations & group practices 1

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 4

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1962401406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 CATON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543140",
            "telephone_number": "757-650-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 CATON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543140",
            "telephone_number": "757-650-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRK",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101029919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6079741",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.