NPIMap

Organization Active NPI

Twin River Medical Clinic PC

  • Internal Medicine Physician
  • Hopewell, VA
National Provider Identifier
1306805049
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TWIN RIVER MEDICAL CLINIC PC
Practice address
1012 Winston Churchill Dr
Hopewell, VA 23860-5141
Phone
(804) 458-8583
Fax
(804) 541-2724
NPI assigned
Mar 21, 2006
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Abdul WK Durrani, MDNPI 1225007677
Title
President
Phone
(804) 458-8583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1012 Winston Churchill Dr
Hopewell, VA 23860-5141

Mailing address

1012 Winston Churchill Dr
Hopewell, VA 23860-5141
Phone (804) 458-8583

Other identifiers 1

IdentifierTypeStateIssuer
CH5500OtherVAMEDICARE RR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041209000155 VA Part B Supplier - Clinic/Group Practice 7517923790 Receives reassigned benefits from 16 practitioners
Practice locations: Hopewell, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1306805049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 WINSTON CHURCHILL DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605141",
            "telephone_number": "804-458-8583",
            "fax_number": "804-541-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 WINSTON CHURCHILL DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605141",
            "telephone_number": "804-458-8583",
            "fax_number": "804-541-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVER MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "DURRANI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "WK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-458-8583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CH5500",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.