Tanwi Bah Tanwi IV, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101056856 Issued in VA

Practice address

601 Old Wagner Rd
Suite 101
Petersburg, VA 23805-9313

Phone

(804) 524-2260

Fax

(804) 524-0096

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• VMG Specialists PC

  • Pulmonary Disease Physician
  • Petersburg, VA
  • NPI 1295194983
  Medicare reassignment NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1285684902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD",
            "address_2": "SUITE 101",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "804-524-2260",
            "fax_number": "804-524-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD",
            "address_2": "SUITE 101",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "804-524-2260",
            "fax_number": "804-524-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANWI",
        "first_name": "TANWI",
        "middle_name": "BAH",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101056856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "130019784",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109741",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Linda Patsy Tanguma, CRNA
• Tanikka Mason
• Ronda Lynn Tate
• Taylor Enhanced Living
• Denise Taylor
• Iris Taylor
• Pamela Taylor

• Neurology Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.

Verify at the official NPI Registry.