Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominick A Ruggiero, PA-C

Individual provider Physician Assistant · NPI 1629094776

Dominick A Ruggiero, PA-C is a Physician Assistant in Chesapeake, Virginia. Qualified in 2006, 20 years ago. Practices with Sport Medicine and Orthopaedic Center Inc, a 25-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Licensed in
VA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

612 Kingsborough Sq Ste 100
Chesapeake, VA 23320-5041
Phone: (757) 547-9294
Fax: (757) 213-9342
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 400 W Brambleton Ave Ste 104, Norfolk, VA 23510-1151 — (757) 627-7700
  • 2000 Meade Pkwy, Suffolk, VA 23434-4259 — (757) 934-9420
  • 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 — (757) 419-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002303 (VA)

Record details

NPI number1629094776
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESAugust 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sport Medicine And Orthopaedic Center Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chesapeake