NPIMap

Individual provider Active NPI

Nabil Tadros, MD

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1982684692
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101041357 Issued in VA
Practice address
160 Kingsley LN Ste 500
Norfolk, VA 23505-4690
Phone
(757) 889-6733
NPI assigned
Jan 19, 2006
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101041357 VA Primary

Addresses

Primary practice location

160 Kingsley LN Ste 500
Norfolk, VA 23505-4690

Mailing address

160 Kingsley LN Ste 500
Norfolk, VA 23505-4690
Phone (757) 889-6733

Other identifiers 2

IdentifierTypeStateIssuer
5859000MedicaidVA
010110840MedicaidVA

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
I20040724000351 VA Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Other (Physician) 8921088352 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Norfolk Internal Medicine, PCGroup PAC ID 1052362373, 2 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

160 Kingsley Lane
Suite 500
Norfolk, VA 23505-4690

160 Kingsley LN
Suite 500
Norfolk, VA 23505-4690
Phone (757) 889-6733

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Post Acute & Long Term Care PLLC Internal Medicine CurrentSince Dec 5, 2017 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince May 27, 2023 Accepting new patients
Norfolk Internal Medicine, PC Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients
Mid Atlantic Long Term Specialty Care LLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Apm Spine and Sports Physicians, P.C. PastSince Oct 11, 2020 Accepting new patients

Locations

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Autumn Care of NorfolkNorfolk, VA, CCN 495253 Skilled nursing facility Adp of the SNF Jan 1, 2008
Autumn Care of PortsmouthPortsmouth, VA, CCN 495194 Skilled nursing facility Adp of the SNF Jan 1, 2012
GentivaVirginia Beach, VA, CCN 491562 Hospice Contracted Managing Employee Dec 18, 2020
Gentiva IINewport News, VA, CCN 491622 Hospice Contracted Managing Employee Nov 20, 2016

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1982684692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KINGSLEY LN STE 500",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054690",
            "telephone_number": "757-889-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KINGSLEY LN STE 500",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054690",
            "telephone_number": "757-889-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101041357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5859000",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010110840",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.