NPIMap

Individual provider Active NPI

Kimberly Pasquale, M.D.

  • Otolaryngology Physician
  • Chesapeake, VA
National Provider Identifier
1982640793
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101231986 Issued in VA
Practice address
500 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5187
Phone
(757) 547-9714
Fax
(757) 547-0725
NPI assigned
Jun 21, 2006
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101231986 VA Primary

Addresses

Primary practice location

500 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5187

Mailing address

500 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5187
Phone (757) 547-9714

Other names 1

  • Kimberly Pasquale-Niebles Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000712 VA Practitioner - Otolaryngology 4486799913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Ear Nose and Throat Associates PCGroup PAC ID 5890773626, 17 clinicians

Practice addresses (Care Compare)

500 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5197
Phone (757) 547-9714

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Ear, Nose & Throat Associates, P.C. Otolaryngology CurrentSince Nov 1, 2001 Accepting new patients

Locations

500 Independence Pkwy
Ste 100
Chesapeake, VA 23320
Phone (747) 547-9714

510 Independence Pkwy
Ste 850
Chesapeake, VA 23320
Phone (757) 290-0202

1037 Champions Way
Ste 100
Suffolk, VA 23435
Phone 7574653106 ext. 505

361 Southport Cir
Ste 100
Virginia Beach, VA 23452
Phone (757) 547-9714

Interoperability endpoints

  • Direct secure messaging: kpasquale@events.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1982640793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDEPENDENCE PKWY",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205187",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDEPENDENCE PKWY",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205187",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUALE",
        "first_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101231986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PASQUALE-NIEBLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.