Organization Active NPI

Danville Internal Medicine Inc

  • Medical Specialty Clinic/Center
  • Danville, VA
National Provider Identifier
1215972443
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0101044402 Issued in VA
Legal business name
DANVILLE INTERNAL MEDICINE INC
Practice address
125 Watson St
Danville, VA 24541-2834
Phone
(434) 797-5711
Fax
(434) 797-9165
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Dr. Daniel Lee Pomposini, M.D.
Title
Owner
Phone
(434) 797-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0101044402 VA Primary

Addresses

Primary practice location

125 Watson St
Danville, VA 24541-2834

Mailing address

125 Watson St
Danville, VA 24541-2834
Phone (434) 797-5711

Other identifiers 1

IdentifierTypeStateIssuer
5852099MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1215972443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WATSON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412834",
            "telephone_number": "434-797-5711",
            "fax_number": "434-797-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WATSON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412834",
            "telephone_number": "434-797-5711",
            "fax_number": "434-797-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "POMPOSINI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-797-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101044402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5852099",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.