Active NPI
Thomas R McCune, MD
- Nephrology Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 0101039963
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006053670 | Medicaid | VA | |
| 390001569 | Other | VA | RAILROAD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Eastern Virginia Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Riverview Ave
Suite 600
Norfolk, VA 23510-1065
Phone (757) 627-7301
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Henry Ford Health Warren Hospital
- Sentara Obici Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Tidewater LTD | Nephrology | Current | 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
- thomasmccune@natltd.allscriptsdirect.net
- 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.
-
- Nephrology Physician
- Norfolk, VA
- NPI 1518990423
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.