DR. ASHLEY A BURKHOLDER (DO) – Family Medicine Physician, NPI 1376930073
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
123 HOSPICE/PALLIATIVE CARE in VA
Provider Addresses for DR. ASHLEY A BURKHOLDER (DO)
10510 JEFFERSON AVE
NEWPORT NEWS, VA 236013102
Phone: (757) 594-3945
Fax: (757) 594-3184
Type: Mailing
1024 FIRST COLONIAL RD STE 104
VIRGINIA BEACH, VA 23454
Phone: (757) 395-2500
Fax: (757) 275-9700
Type: Location
1912 HAYES AVE
SANDUSKY, OH 448704736
Phone: (419) 557-7070
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210721002054 | I | Family Practice | MI | TBD |
| I20230928004014 | I | Hospice/Palliative Care | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23601)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | LA | |
| Nurse Practitioner | OH | |
| General Practice | OH | |
| Vascular Surgery | OH | |
| Internal Medicine | OH | |
| Cardiovascular Disease (Cardiology) | NV | |
| Pulmonary Disease, Critical Care (Intensivists) | VA | |
| Family Practice | OH | |
| Orthopedic Surgery | OH | |
| N E U R O S U R G E R Y | MI |
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