Organization Active NPI

Robert M Jurko MD LTD

  • Internal Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1235193277
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROBERT M JURKO MD LTD
Practice address
3101 American Legion Rd
Chesapeake, VA 23321-5655
Phone
(757) 488-4551
Fax
(757) 484-7881
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mr. Robert Michael Jurko, MDNPI 1295799237
Title
President
Phone
(757) 484-5516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3101 American Legion Rd
Chesapeake, VA 23321-5655

Mailing address

2876 Guardian Lane
Virginia Beach, VA 23452-7327
Phone (757) 463-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108001088 VA Part B Supplier - Clinic/Group Practice 2264332188 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1021065Robert M Jurko, MD3101 American Legion Road -Suite 15, Chesapeake, VA 23321Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

3101 American Legion Rd
Ste 15
Chesapeake, VA 23321
Phone (757) 484-5516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1235193277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 GUARDIAN LANE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527327",
            "telephone_number": "757-463-5240",
            "fax_number": "757-463-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 AMERICAN LEGION RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215655",
            "telephone_number": "757-488-4551",
            "fax_number": "757-484-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M JURKO MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "JURKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-484-5516",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.