Active NPI
David Hartke, MD
- Urology Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 57.005688
- Practice address
- 860 Omni Blvd
Suite 205
Newport News, VA 23606 - Phone
- (757) 873-2562
- Fax
- (757) 873-2570
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 57.005688 | OH | Primary |
Addresses
Primary practice location
860 Omni Blvd
Suite 205
Newport News, VA 23606
Mailing address
860 Omni Blvd
Suite 303
Newport News, VA 23606
Phone (757) 232-8777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2839110 | Medicaid | OH | |
| P00620400 | Other | OH | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Emory University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6877
4421 Virginia Beach Blvd
VA Beach, VA 23462-3114
860 Omni Blvd
Newport News, VA 23606-4430
Hospital & facility affiliations
- Mary Immaculate Hospital
- Sentara Careplex Hospital
- Bon Secours Maryview Medical Center
- Sentara Williamsburg Regional Medical Center
- Riverside Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.005688 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Urology | Current | Accepting new patients |
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients |
Locations
860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138
860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777
860 Omni Blvd
Ste 107
Newport News, VA 23606
Phone (757) 873-2562
827 Diligence Dr
Ste 100
Newport News, VA 23606
729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077
860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952
860 Omni Blvd
Ste 205
Newport News, VA 23606
Phone (757) 873-2562
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
Urology
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1427064310
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1972706356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 OMNI BLVD",
"address_2": "SUITE 303",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23606",
"telephone_number": "757-232-8777",
"fax_number": "757-232-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 OMNI BLVD",
"address_2": "SUITE 205",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23606",
"telephone_number": "757-873-2562",
"fax_number": "757-873-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTKE",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "57.005688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2839110",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00620400",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.