OrganizationHampton Roads Internal MedicineInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2115 Executive Dr, Suite 2a, Hampton, VA 23666-2499(757) 827-1920PECOS EnrollmentBased on the most recent information from CMS, provider Hampton Roads Internal Medicine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1215117437Provider TypeOrganizationFull NameHampton Roads Internal MedicineSubpartNoEnumeration Date11/5/2007Last Updated12/28/2007Contact InformationPractice LocationPractice Address2115 Executive Dr, Suite 2a, Hampton, VA 23666-2499Phone(757) 827-1920Fax(757) 827-7509Mailing LocationMailing Address2115 Executive Drive, Suite 2a, Hampton, VA 23666-2411Phone(757) 827-1920Fax(757) 827-7509Authorized OfficialNameRothfuss, Henry Lester (President)Phone(757) 827-1920Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101033520VirginiaProvider IdentifiersIDDescriptionIssuerIDC10327DescriptionOtherIssuerMEDICARE PTAN