Individual provider Active NPI

Phillip D Luebbert, MD

  • Vascular & Interventional Radiology Physician
  • Virginia Beach, VA
National Provider Identifier
1972587152
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101042958 Issued in VA
Practice address
5544 Greenwich Rd Ste 200
Virginia Beach, VA 23462-6563
Phone
(757) 466-0089
Fax
(757) 466-8017
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101042958 VA Primary
Diagnostic Radiology Physician 2085R0202X 0101042958 VA

Addresses

Primary practice location

5544 Greenwich Rd Ste 200
Virginia Beach, VA 23462-6563

Mailing address

5544 Greenwich Rd Ste 200
Virginia Beach, VA 23462-6563
Phone (757) 466-0089

Other identifiers 6

IdentifierTypeStateIssuer
10002189OtherVAOPTIMA
300035674OtherVARR MEDICARE
890559UMedicaidNC
10002189OtherVASENTARA
139178OtherVABCBS
1972587152MedicaidVA

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
I20051122000692 VA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0446214399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Eastern Virginia Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians

Practice addresses (Care Compare)

100 Sentara Cir
Williamsburg, VA 23188-5713
Phone (757) 736-1000

11803 Jefferson Ave
Newport News, VA 23606-2565
Phone (757) 736-1000

3000 Coliseum Dr
Hampton, VA 23666-5963
Phone (757) 736-1000

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2465

5838 Harbour View Blvd
Suite 210
Suffolk, VA 23435-3602
Phone (757) 541-1900

600 Gresham Dr
Norfolk, VA 23507-1904

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 466-6870

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Nov 1, 2005 Accepting new patients
Columbia Radiology Associates Diagnostic Radiology Past Accepting new patients

Locations

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

5544 Greenwich Rd
Ste 200
Virginia Beach, VA 23462

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 and National Provider Directory roles.

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1972587152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 GREENWICH RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626563",
            "telephone_number": "757-466-0089",
            "fax_number": "757-466-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 GREENWICH RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626563",
            "telephone_number": "757-466-0089",
            "fax_number": "757-466-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBBERT",
        "first_name": "PHILLIP",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101042958",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101042958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "10002189",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300035674",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890559U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "10002189",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "139178",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972587152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.