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FREDERICK BAGARES D.O.
NPI 1588942155
Physical Medicine & Rehabilitation - Sports Medicine in Virginia Beach, VA

Active since July 29, 2011Opted out of Medicare · through Oct 31, 2027
4176 S PLAZA TRL STE 218, VIRGINIA BEACH, VA 23452(757) 828-3080(757) 828-3083 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2024, May 10, 2023, May 6, 2021 and 9 more (12 updates tracked since 2016).

About Frederick Bagares D.o. NPPES

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

FREDERICK BAGARES D.O. (NPI 1588942155) is an individual sports medicine provider in Virginia Beach, Virginia, licensed in Virginia (0102204441) and active in the NPI registry since July 2011. He has opted out of Medicare through October 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1588942155
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameFREDERICK BAGARESCredential: D.O.
Location Address4176 S PLAZA TRL STE 218Virginia Beach, VA 23452-1920
Mailing Address2085 Lynnhaven Pkwy Ste 106Virginia Bch, VA 23456-1497 · (757) 828-3080 · Fax (757) 828-3083
Phone(757) 828-3080
Fax(757) 828-3083
Sole ProprietorNo
Enumeration DateJuly 29, 2011
Last NPPES UpdateOctober 21, 202412 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1588942155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in VA · 0102204441
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0102204441 (VA)
4176 S PLAZA TRL STE 218, Virginia Beach, VA 23452
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Other Identifiers 14

Other1588942155VA · Anthem Bc/bs
Medicaid1588942155NC
Other1588942155VA · Virginia Health Network
Other1588942155VA · Tricare/champus
Other1588942155VA · Optima Health
Other1588942155VA · Aetna
Other1588942155VA · United Healthcare
Other1588942155VA · Corvel
Medicaid1588942155VA
Other1588942155VA · Coventry
Other1588942155VA · Multiplan
Other1588942155VA · Virginia Premier Health Plan
Other1588942155VA · Usa Managed Care
Other1588942155VA · Cigna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Frederick Bagares D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 31, 2023 through October 31, 2027.

Opt-Out Effective DateOctober 31, 2023
Opt-Out In Effect ThroughOctober 31, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Frederick Bagares's NPI number?

The NPI number for Frederick Bagares is 1588942155. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Where is Frederick Bagares located?

Frederick Bagares practices at 4176 S Plaza Trl Ste 218, Virginia Beach, VA 23452. The listed phone number is (757) 828-3080.

What is Frederick Bagares's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Frederick Bagares enrolled in Medicare?

No. Frederick Bagares has opted out of Medicare through October 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Frederick Bagares was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.