Individual provider Active NPI

Richard Phay Tu, MD

  • Internal Medicine Physician
  • Falls Church, VA
National Provider Identifier
1104937358
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101-045328 Issued in VA
Practice address
6404 Seven Corners Place
#G
Falls Church, VA 22044
Phone
(703) 237-2488
Fax
(703) 237-2492
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101-045328 VA Primary

Addresses

Primary practice location

6404 Seven Corners Place
#G
Falls Church, VA 22044

Mailing address

6404 Seven Corners Place
#G
Falls Church, VA 22044
Phone (703) 237-2488

Other identifiers 1

IdentifierTypeStateIssuer
5605768MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120424000310 DC Practitioner - Internal Medicine 2769644582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Potomac Medical Center PCGroup PAC ID 3678749173, 2 clinicians

Practice addresses (Care Compare)

6404 G Seven Corners Place
Falls Church, VA 22044-2034
Phone (703) 237-2488

Hospital & facility affiliations

  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-045328VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Medical Center PC Internal Medicine CurrentSince Jun 18, 1993 Accepting new patients
Potomac Medical Center PC Internal Medicine CurrentSince Jun 18, 1993 Accepting new patients

Locations

6404 Seven Corners Pl
Ste G
Falls Church, VA 22044
Phone (703) 237-2488

Interoperability endpoints

  • Direct secure messaging: richardtu@1798.mdlanddirect.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1104937358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 SEVEN CORNERS PLACE",
            "address_2": "#G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22044",
            "telephone_number": "703-237-2488",
            "fax_number": "703-237-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 SEVEN CORNERS PLACE",
            "address_2": "#G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22044",
            "telephone_number": "703-237-2488",
            "fax_number": "703-237-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "RICHARD",
        "middle_name": "PHAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101-045328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5605768",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.