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

Masaru Nishiaoki, MD

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1871026831

Masaru Nishiaoki, MD is an Addiction Medicine in Virginia Beach, Virginia. Qualified in 2017, 9 years ago. Practices with Tidewater Psychotherapy Services, a 10-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2017
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

4509 Whitechapel Dr
Virginia Beach, VA 23455
Phone: (757) 460-4655
Fax: (757) 460-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 825 Fairfax Ave, Norfolk, VA 23507 — (757) 446-5738
  • 501 N 2nd St # 100, Richmond, VA 23219-1359 — (804) 628-6777

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 0101268181 (VA)

Record details

NPI number1871026831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2017
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

Medicare enrollment

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

Medicare specialtyADDICTION MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tidewater Psychotherapy Services — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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