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SENTARA CARDIOLOGY SPECIALISTS
NPI 1104186428
Internal Medicine - Cardiovascular Disease in Virginia Beach, VA

Active since May 21, 2012CLIA 49D2184365 · Waiver
2075 GLENN MITCHELL DR, STE 400, VIRGINIA BEACH, VA 23456(757) 507-8900 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sentara Cardiology Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENTARA CARDIOLOGY SPECIALISTS (NPI 1104186428) is a healthcare organization registered as a cardiovascular disease in Virginia Beach, Virginia and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Cindy A Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1104186428
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSENTARA MEDICAL GROUP
Location Address2075 GLENN MITCHELL DR, STE 400Virginia Beach, VA 23456-0179
Mailing Address2075 Glenn Mitchell Dr, Ste 400Virginia Beach, VA 23456-0179 · (757) 507-8900
Phone(757) 507-8900
Organization SubpartNo
Authorized OfficialCindy A TaylorManager · (757) 252-3344
Enumeration DateMay 21, 2012
Last NPPES UpdateMay 22, 2013
✔ NPI 1104186428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
2075 GLENN MITCHELL DR, Virginia Beach, VA 23456
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Other Names 1

Doing Business AsSentara Cardiology Specialists

Other Identifiers 1

OtherC02033VA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2184365

Sentara Cardiology Specialists - Princess Anne · Virginia Beach, VA
Active · expires May 18, 2028
CLIA Number49D2184365
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorSaaransh G. Desai
Laboratory Phone(757) 507-8900
Laboratory LocationSentara Cardiology Specialists - Princess Anne2075 Glen Mitchell Drive Suite 400, Virginia Beach, VA 23456
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SENTARA MEDICAL GROUP
Surgery (Vascular Surgery)
2075 GLENN MITCHELL DR, STE 506
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 470-5570
AMBER LYNN SOURBEER PA-C
Physician Assistant (Medical)
2075 GLENN MITCHELL DR, STE 400
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-8900
MRS. SUSAN EDMONDSON PHILLIPS M.S., CGC
Genetic Counselor, MS
2075 GLENN MITCHELL DR, SUITE 500
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 689-5104
SENTARA MEDICAL GROUP
Surgery
2075 GLENN MITCHELL DR, STE 512
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-8850
SENTARA MEDICAL GROUP
Surgery
2075 GLENN MITCHELL DR, STE 512A
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 388-6120
DR. MELISSA J BUCHBERG M.D.
Obstetrics & Gynecology
2075 GLENN MITCHELL DR, SUITE 410
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 481-7222
MISS MELODY L OSBORNE PA-C
Physician Assistant
2075 GLENN MITCHELL DR, SUITE 512
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-8850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sentara Medical Group's NPI number?

The NPI number for Sentara Medical Group is 1104186428. It was assigned to this organization in the NPPES registry on May 21, 2012. The provider is doing business as Sentara Cardiology Specialists.

Where is Sentara Medical Group located?

Sentara Medical Group is located at 2075 Glenn Mitchell Dr Ste 400, Virginia Beach, VA 23456. The listed phone number is (757) 507-8900.

What is Sentara Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Sentara Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2184365) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sentara Medical Group was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.