Individual provider Active NPI

Robert M Jurko, MD

  • Internal Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1295799237
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101038158 Issued in VA
Practice address
3101 American Legion Rd
Suite 15
Chesapeake, VA 23321-5655
Phone
(757) 484-5516
Fax
(757) 484-7881
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101038158 VA Primary

Addresses

Primary practice location

3101 American Legion Rd
Suite 15
Chesapeake, VA 23321-5655

Mailing address

3101 American Legion Rd
Suite 15
Chesapeake, VA 23321-5655
Phone (757) 484-5516

Other identifiers 3

IdentifierTypeStateIssuer
100349OtherVAANTHEM
010036046MedicaidVA
890674YOtherNCBCBS MEDICAID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108001105 VA Practitioner - Internal Medicine 0244130169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3101 American Legion Rd
Suite 15
Chesapeake, VA 23321-5655
Phone (757) 484-5516

Hospital & facility affiliations

  • @Heart Homecare Home health agency, Virginia Beach, VA, CCN 497744
  • Medi Home Health Agency Home health agency, Chesapeake, VA, CCN 497580
  • Lake Prince at Home LLC Home health agency, Suffolk, VA, CCN 497763
  • Commonwealth Home Care Home health agency, Portsmouth, VA, CCN 497775
  • Interim Healthcare Home health agency, Virginia Beach, VA, CCN 497264
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Merit-based Incentive Payment System (MIPS)

Final score
24.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101038158VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Jurko MD LTD Internal Medicine CurrentSince Dec 1, 2003 Accepting new patients
Tidewater Diagnostic Interpreters,Inc Internal Medicine Past Accepting new patients

Locations

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

Organizations & group practices 2

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1295799237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 AMERICAN LEGION RD",
            "address_2": "SUITE 15",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215655",
            "telephone_number": "757-484-5516",
            "fax_number": "757-484-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 AMERICAN LEGION RD",
            "address_2": "SUITE 15",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215655",
            "telephone_number": "757-484-5516",
            "fax_number": "757-484-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKO",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101038158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100349",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010036046",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEDICAID",
            "identifier": "890674Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.