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

Jeffrey Allen Vandesand, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972712115

Jeffrey Allen Vandesand, MD is a Diagnostic Radiology in Newport News, Virginia. Graduated from University of Virginia School of Medicine in 2003, 23 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
23
Trained at
University of Virginia School of Medicine
Licensed in
VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

860 Omni Blvd Ste 109
Newport News, VA 23606-4430
Phone: (757) 232-8769
Fax: (757) 232-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101243665 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116016608 (VA)

Record details

NPI number1972712115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESDecember 2, 2019

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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