Individual provider Active NPI

Darine Moukalled, MD

  • Obstetrics & Gynecology Physician
  • Newport News, VA
National Provider Identifier
1982867065
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101251393 Issued in VA
Practice address
12200 Warwick Blvd
Suite 510
Newport News, VA 23601-2344
Phone
(757) 534-5700
Fax
(757) 534-5730
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101251393 VA Primary

Addresses

Primary practice location

12200 Warwick Blvd
Suite 510
Newport News, VA 23601-2344

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

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
I20120823000957 VA Practitioner - Obstetrics/Gynecology 9931356003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

401 Oyster Point Rd
Suite a
Newport News, VA 23602-6926
Phone (757) 249-3000

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Riverside Smithfield Hospital Hospital, Smithfield, VA, CCN 490149
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101251393VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Hospital Inc Current Accepting new patients
Riverside Physician Services, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Riverside Hospital Inc CurrentSince Sep 1, 2021 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 1, 2012 Accepting new patients
Riverside Hospital Inc. Obstetrics & Gynecology CurrentSince Sep 1, 2021 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

6750 Main St
Ste 200
Gloucester, VA 23061
Phone (804) 693-2670

5 Manhattan Sq
Hampton, VA 23666
Phone (757) 534-5700

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

10510 Jefferson Ave
Ste D
Newport News, VA 23601
Phone (757) 594-4720

12200 Warwick Blvd
Ste 510
Newport News, VA 23601
Phone (757) 534-5700

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

401 Oyster Point Rd
Ste A
Newport News, VA 23602
Phone (757) 249-3000

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

Organizations & group practices 7

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1982867065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WARWICK BLVD",
            "address_2": "SUITE 510",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012344",
            "telephone_number": "757-534-5700",
            "fax_number": "757-534-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUKALLED",
        "first_name": "DARINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101251393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.