Glen Edgar Tomkins, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101242226 Issued in VA

Practice address

1141 Elden St
Suite 300
Herndon, VA 20170-5549

Phone

(703) 481-8160

NPI assigned

Aug 25, 2011

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Loudoun Community Health CenterGroup PAC ID 5193822930, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Loudoun Community Health Center

  dba HealthWorks for Northern Virginia

  • Federally Qualified Health Center (FQHC)
  • Leesburg, VA
  • NPI 1629109806
  Medicare reassignment Care Compare group NPD
• Loudoun Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sterling, VA
  • NPI 1144736901
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1366722126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 ELDEN ST",
            "address_2": "SUITE 300",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705549",
            "telephone_number": "703-481-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 ELDEN ST",
            "address_2": "SUITE 300",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705549",
            "telephone_number": "703-481-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKINS",
        "first_name": "GLEN",
        "middle_name": "EDGAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Calvert Thompson, MAC, LMT, LME
• Kavitha Thonupunuri
• Srividya Thotakura, PAC
• Carlita Tibbs, RBT
• Nicholas JD Tiscione, PH.D.
• Cheryl D Toner, MS, RDN
• Han Tonthat, MD
• Miriana Torres
• Trees of Care Home Care LLC
• Mary Trigsted, M.A., BCBA

• Internal Medicine Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.
• 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.