Individual provider Active NPI

Thomas R McCune, MD

  • Nephrology Physician
  • Norfolk, VA
National Provider Identifier
1154310050
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101039963 Issued in VA
Practice address
907 Medical Tower
400 Gresham Dr
Norfolk, VA 23507-1970
Phone
(757) 627-7301
Fax
(757) 627-6238
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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 0101039963 VA Primary

Addresses

Primary practice location

907 Medical Tower
400 Gresham Dr
Norfolk, VA 23507-1970

Mailing address

6160 Kempsville Cir
Ste 302a
Norfolk, VA 23502-3933
Phone (757) 466-9288

Other identifiers 2

IdentifierTypeStateIssuer
006053670MedicaidVA
390001569OtherVARAILROAD MEDICARE

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
I20101022000215 VA Practitioner - NephrologyPractitioner - Internal Medicine 1951204254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Eastern Virginia Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Tidewater LTDGroup PAC ID 3173426558, 24 clinicians

Practice addresses (Care Compare)

301 Riverview Ave
Suite 600
Norfolk, VA 23510-1065
Phone (757) 627-7301

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Tidewater LTD Nephrology CurrentSince Sep 6, 1991 Accepting new patients

Locations

6160 Kempsville Cir
Ste 302A
Norfolk, VA 23502
Phone (757) 466-9288

301 Riverview Ave
Ste 600
Norfolk, VA 23510
Phone (757) 627-7301

Interoperability endpoints

  • Direct secure messaging: thomasmccune@natltd.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000397

Organizations & group practices 1

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 5

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1154310050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR",
            "address_2": "STE 302A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-466-9288",
            "fax_number": "757-457-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MEDICAL TOWER",
            "address_2": "400 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071970",
            "telephone_number": "757-627-7301",
            "fax_number": "757-627-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101039963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006053670",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390001569",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.