Active NPI
Nyemkuna Fortingo, MD
- Urology Physician
- Richmond, VA
National Provider Identifier
1487349270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0116037844
- Practice address
- Vcuhs Dept of Urology
1001 East Leigh Street
Richmond, VA 23219-0118 - Phone
- (804) 828-9331
- NPI assigned
- Apr 7, 2023
- Last updated
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0116037844 | VA | Primary |
Addresses
Primary practice location
Vcuhs Dept of Urology
1001 East Leigh Street
Richmond, VA 23219-0118
Mailing address
PO Box 980257
Richmond, VA 23298-0257
Phone (804) 828-9783
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116037844 | VA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1487349270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980257",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980257",
"telephone_number": "804-828-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VCUHS DEPT OF UROLOGY",
"address_2": "1001 EAST LEIGH STREET",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232190118",
"telephone_number": "804-828-9331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTINGO",
"first_name": "NYEMKUNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2024-07-01",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0116037844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.