Individual provider Active NPI

Rebin Thomas Titus, M.D.

  • Nephrology Physician
  • Roanoke, VA
National Provider Identifier
1053436923
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101249223 Issued in VA
Practice address
2602 Franklin Rd SW
Roanoke, VA 24014
Phone
(540) 344-1400
NPI assigned
Mar 20, 2007
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101249223 VA Primary

Addresses

Primary practice location

2602 Franklin Rd SW
Roanoke, VA 24014

Mailing address

2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone (540) 344-1400

Other practice location 1

429 Commonwealth Blvd E
Martinsville, VA 24112-2014
Phone (276) 638-7731

Other identifiers 7

IdentifierTypeStateIssuer
1053436923MedicaidVA
5998251OtherVACIGNA
1053436923OtherVAANTHEM
5917782MedicaidNC
1053436923OtherVAUNITED HEALTHCARE / MAMSI
1053436923OtherVAGATEWAY HEALTH ALLIANCE
1053436923OtherVAHEALTHNET FEDERAL SERVICES / TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000183 VA Practitioner - NephrologyPractitioner - Internal Medicine 8729256011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Care of Virginia PCGroup PAC ID 9739174640, 19 clinicians

Practice addresses (Care Compare)

2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone (540) 343-5968

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Care of Virginia PC Nephrology CurrentSince May 15, 2019 Accepting new patients
Renal Care Group of the South, Inc. PastSince Nov 1, 2016 Accepting new patients
Piedmont Day Surgery Center Inc Past Accepting new patients

Locations

1 E Market St
Ste B1
Martinsville, VA 24112
Phone (276) 632-1872

2602 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 343-5968

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1053436923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141010",
            "telephone_number": "540-344-1400",
            "fax_number": "540-344-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-344-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Commonwealth Blvd E",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241122014",
            "country_code": "US",
            "telephone_number": "276-638-7731",
            "fax_number": "276-638-7735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITUS",
        "first_name": "REBIN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101249223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053436923",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5998251",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1053436923",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917782",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE / MAMSI",
            "identifier": "1053436923",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH ALLIANCE",
            "identifier": "1053436923",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FEDERAL SERVICES / TRICARE",
            "identifier": "1053436923",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.