Olde Towne Medical Practice PLLC
NPI 1164268165 · Internal Medicine Physician · Portsmouth, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olde Towne Medical Practice PLLC is a Internal Medicine Physician organization in Portsmouth, VA (NPI 1164268165).
Provider details
- NPI number
- 1164268165
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Latisha Byrd, Office Billing Clerk(757) 399-0701
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Bhowik Medical Practice
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Frequently asked questions
- What is Olde Towne Medical Practice PLLC's NPI number?
- Olde Towne Medical Practice PLLC's National Provider Identifier (NPI) is 1164268165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olde Towne Medical Practice PLLC?
- Olde Towne Medical Practice PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Olde Towne Medical Practice PLLC located?
- Olde Towne Medical Practice PLLC's practice location on file with NPPES is 301 Goode Way Ste 103, Portsmouth, VA 23704-2266.
- What is Olde Towne Medical Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Olde Towne Medical Practice PLLC is (757) 399-0701.
- Does Olde Towne Medical Practice PLLC accept Medicare?
- Olde Towne Medical Practice PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Olde Towne Medical Practice PLLC?
- The authorized official listed on Olde Towne Medical Practice PLLC's NPPES record is Latisha Byrd, Office Billing Clerk. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olde Towne Medical Practice PLLC's NPI active?
- Yes — Olde Towne Medical Practice PLLC's NPI (1164268165) is active in the NPPES registry as of the last update on 2024-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.