Active NPI
Jason Kudurogianis
- Psychiatry Physician
- Richmond, VA
National Provider Identifier
1205192077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0102204869
- Practice address
- 8401 Mayland Dr # 8218
Richmond, VA 23294-4648 - Phone
- (804) 603-9163
- Fax
- (619) 326-3907
- NPI assigned
- Apr 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0102204869 | VA | Primary |
Addresses
Primary practice location
8401 Mayland Dr # 8218
Richmond, VA 23294-4648
Mailing address
8401 Mayland Dr # 8218
Richmond, VA 23294-4648
Phone (804) 603-9163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102204869 | VA | MD | Psychiatry Physician |
Interoperability endpoints
- jasonkudurogianis@tpci.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1205192077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 MAYLAND DR # 8218",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944648",
"telephone_number": "804-603-9163",
"fax_number": "619-326-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MAYLAND DR # 8218",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944648",
"telephone_number": "804-603-9163",
"fax_number": "619-326-3907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDUROGIANIS",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-06",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102204869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.