Active NPI
Thomas K Irungu, MD, MPH
- Family Medicine Physician
- Tappahannock, VA
National Provider Identifier
1417023490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101238377
- Practice address
- 300 Mt Clement Park
Suite a
Tappahannock, VA 22560-5098 - Phone
- (804) 443-8610
- Fax
- (804) 443-8620
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101238377 | VA | Primary |
Addresses
Primary practice location
300 Mt Clement Park
Suite a
Tappahannock, VA 22560-5098
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417023490 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21428 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1417023490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-594-4006",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MT CLEMENT PARK",
"address_2": "SUITE A",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225605098",
"telephone_number": "804-443-8610",
"fax_number": "804-443-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRUNGU",
"first_name": "THOMAS",
"middle_name": "K",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101238377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417023490",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tappahannock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.