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CAPITAL DIGESTIVE CARE LLC
NPI 1659563799
Internal Medicine - Gastroenterology in Norfolk, VA

Active since August 13, 2007CLIA Certified · 2 labs
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502(757) 466-0165(757) 466-7296 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2025, May 23, 2022, Apr 14, 2022 and 4 more (7 updates tracked since 2021).

About Capital Digestive Care Llc NPPES

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

CAPITAL DIGESTIVE CARE LLC (NPI 1659563799), doing business as Gastrointestinal And Liver Specialists Of Tidewater, Pllc, is a healthcare organization registered as a gastroenterology in Norfolk, Virginia and active in the NPI registry since August 2007. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Timothy Short, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659563799
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCAPITAL DIGESTIVE CARE LLC
Location Address885 KEMPSVILLE RD, SUITE 114Norfolk, VA 23502-3800
Mailing Address10770 Columbia Pike Ste 400Silver Spring, MD 20901-4462 · (240) 485-5210
Phone(757) 466-0165
Fax(757) 466-7296
Organization SubpartYesParent: Capital Digestive Care, Llc- Digestive And Liver Disease Specialists
Authorized OfficialTimothy ShortCeo · (757) 803-6483
Enumeration DateAugust 13, 2007
Last NPPES UpdateAugust 26, 20257 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1659563799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
885 KEMPSVILLE RD, Norfolk, VA 23502
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Other Names 1

Former Legal Business NameGastrointestinal And Liver Specialists Of Tidewater, Pllc

Secondary Practice Locations 2

Location 11717 Will O Wisp Dr Ste 200Virginia Beach, VA 23454-3102 · Phone (757) 481-4817 · Fax (757) 481-7138
Location 2828 Healthy Way Ste 210Virginia Beach, VA 23462-7960 · Phone (757) 481-4817 · Fax (757) 481-7138

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capital Digestive Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20211124000446Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

189

Medicare enrollment records show 189 clinicians reassign Medicare billing to Capital Digestive Care LLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 99 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Certified Registered Nurse Anesthetist (CRNA)92
Gastroenterology45
Nurse Practitioner34
Anesthesiology6
Diagnostic Radiology5
Internal Medicine5
Pathology2

Nearest to this location (20)

See all 189
Amanda Boyd
Internal Medicine
NPI 1609262450
885 KEMPSVILLE RD STE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Whitney Brooks, M.D.
Gastroenterology
NPI 1558305128
885 KEMPSVILLE RD SUITE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Marley Ferraro, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801336516
885 KEMPSVILLE RD STE 114
Norfolk, VA 23502
(757) 466-0165
✔ Accepts MedicareSame address
Kerisha Jones
Nurse Practitioner
NPI 1316762065
885 KEMPSVILLE RD STE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Hosanna Morillo, MSN, NP-C
Nurse Practitioner
NPI 1861982738
885 KEMPSVILLE RD STE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
David Johnson, M.D.
Gastroenterology
NPI 1447236112
885 KEMPSVILLE RD SUITE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOSSame address
Michael Ryan, M.D.
Gastroenterology
NPI 1962488668
885 KEMPSVILLE RD SUITE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
John Smith, M.D.
Gastroenterology
NPI 1447230750
885 KEMPSVILLE RD SUITE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Frank Wootton, M.D.
Gastroenterology
NPI 1750366761
885 KEMPSVILLE RD SUITE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Syed Ismail Thiwan Syed, MD
Gastroenterology
NPI 1932174687
885 KEMPSVILLE RD SUITE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Alan Tieu, M.D.
Gastroenterology
NPI 1427324458
885 KEMPSVILLE RD STE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Kelvin Hornbuckle, M.D.
Gastroenterology
NPI 1215976154
885 KEMPSVILLE RD SUITE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Deborah Pantangan, CFNP
Nurse Practitioner
NPI 1104987304
885 KEMPSVILLE RD SUITE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts MedicareSame address
Kelli Kneisel, NP
Nurse Practitioner
NPI 1477955367
6251 E VIRGINIA BEACH BLVD STE 200
Norfolk, VA 23502
(757) 466-8683
✔ PECOS✔ Accepts Medicare0.2 mi
Kari Jackson, AG-ACNP
Nurse Practitioner
NPI 1497410518
830 KEMPSVILLE RD
Norfolk, VA 23502
(757) 261-6000
✔ PECOS✔ Accepts Medicare0.3 mi
Ruth Simpson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871501692
830 KEMPSVILLE RD
Norfolk, VA 23502
(757) 466-6700
✔ Accepts Medicare0.3 mi
Jennifer Clark, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427066240
830 KEMPSVILLE RD
Norfolk, VA 23502
(757) 466-6700
✔ Accepts Medicare0.3 mi
Michelle Dayday, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538338207
134 BUSINESS PARK DR
Virginia Beach, VA 23462
(757) 473-0055
✔ Accepts Medicare1.2 mi
Ma Daphnie Pasia, APN
Nurse Practitioner
NPI 1043633837
6116 EDWARD ST 206
Norfolk, VA 23513
(973) 563-1138
✔ PECOS3.6 mi
Suhas Deshmukh, M.D.
Gastroenterology
NPI 1053399501
1020 INDEPENDENCE BLVD SUITE 110
Virginia Beach, VA 23455
(757) 464-1644
✔ PECOS✔ Accepts Medicare3.7 mi
See all 189 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 49D0228856

Capital Digestive Care-Gltd · Virginia Beach, VA
Active · expires Jun 15, 2028
CLIA Number49D0228856
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorGlen M. Arluk
Laboratory Phone(757) 481-4817
Laboratory LocationCapital Digestive Care-Gltd1717 Will O'wisp Drive, Suite 200, Virginia Beach, VA 23454
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0863815

Capital Digestive Care · Norfolk, VA
Active · expires Aug 31, 2028
CLIA Number49D0863815
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorF Taylor Wootton, MD
Laboratory Phone(804) 466-0165
Laboratory LocationCapital Digestive Care885 Kempsville Rd Suite 114, Norfolk, VA 23502
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Capital Digestive Care LLC's NPI number?

The NPI number for Capital Digestive Care LLC is 1659563799. It was assigned to this organization in the NPPES registry on August 13, 2007. The provider was formerly known as Gastrointestinal and Liver Specialists of Tidewater, PLLC.

Where is Capital Digestive Care LLC located?

Capital Digestive Care LLC is located at 885 Kempsville Rd Suite 114, Norfolk, VA 23502. The listed phone number is (757) 466-0165.

What is Capital Digestive Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Capital Digestive Care LLC enrolled in Medicare?

Yes. Capital Digestive Care LLC is registered in the Medicare PECOS enrollment system.

When is Capital Digestive Care LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Capital Digestive Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 189 clinicians in 7 Medicare specialties reassign their Medicare billing to Capital Digestive Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (92), Gastroenterology (45) and Nurse Practitioner (34). Of these, 13 practice at this address and 99 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Capital Digestive Care LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Capital Digestive Care LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.