Active NPI
Theodore A Dorsay, MD
- Diagnostic Radiology Physician
- Virginia Beach, VA
National Provider Identifier
1992789093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101233111
- 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
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101233111 | VA | Primary |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89065MT | Medicaid | NC | |
| 7243561 | Medicaid | VA | |
| 300134185 | Other | VA | RR MEDICARE |
| 139178 | Other | VA | BCBS |
| 54877 | Other | VA | SENTARA |
| 54877 | Other | VA | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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": "1391731200000",
"number": "1992789093",
"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": "DORSAY",
"first_name": "THEODORE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101233111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89065MT",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7243561",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300134185",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "139178",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "54877",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "54877",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.