Indian River Family Practice PC
NPI 1629155122 · Family Medicine Physician · Chesapeake, VA
Indian River Family Practice PC is a Family Medicine Physician organization in Chesapeake, VA (NPI 1629155122).
Provider details
- NPI number
- 1629155122
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Larry Kagan, Secretary Treasurer(757) 420-8297
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
19 yrs 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
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Indian River Family Practice PC's NPI number?
- Indian River Family Practice PC's National Provider Identifier (NPI) is 1629155122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indian River Family Practice PC?
- Indian River Family Practice PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Indian River Family Practice PC located?
- Indian River Family Practice PC's practice location on file with NPPES is 1016 Justis St, Chesapeake, VA 23325.
- What is Indian River Family Practice PC's phone number?
- The practice phone number listed in the NPPES registry for Indian River Family Practice PC is (757) 420-8297.
- Who is the authorized official for Indian River Family Practice PC?
- The authorized official listed on Indian River Family Practice PC's NPPES record is Larry Kagan, Secretary Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indian River Family Practice PC's NPI active?
- Yes — Indian River Family Practice PC's NPI (1629155122) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.