Individual provider Active NPI

Tommy Taylor Osborne II, MD

  • Orthopaedic Surgery Physician
  • Norfolk, VA
National Provider Identifier
1598768103
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101050384 Issued in VA
Practice address
1701 Church St Ste a
Norfolk, VA 23504-2304
Phone
(757) 548-7190
Fax
(757) 548-7191
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 0101050384 VA
Orthopaedic Surgery Physician 207X00000X 0101050384 VA Primary

Addresses

Primary practice location

1701 Church St Ste a
Norfolk, VA 23504-2304

Mailing address

1701 Church St Ste a
Norfolk, VA 23504-2304
Phone (757) 548-7190

Other identifiers 2

IdentifierTypeStateIssuer
006402950MedicaidVA
6402950MedicaidVA

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
I20101220001161 VA Practitioner - Orthopedic Surgery 1951342351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Virginia Commonwealth University, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 Church St
Suite a
Norfolk, VA 23504-2304
Phone (757) 548-7190

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101050384VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osborne Orthopedic Group, Inc CurrentSince Nov 28, 2021 Accepting new patients
Osborne Orthopedic Group Inc. Orthopaedic Surgery CurrentSince Aug 12, 2002 Accepting new patients

Locations

612 Kingsborough Sq
Ste 202
Chesapeake, VA 23320
Phone (757) 673-8562

1701 Church St
Ste A
Norfolk, VA 23504
Phone (757) 548-7190

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1598768103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CHURCH ST STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042304",
            "telephone_number": "757-548-7190",
            "fax_number": "757-548-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CHURCH ST STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042304",
            "telephone_number": "757-548-7190",
            "fax_number": "757-548-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "TOMMY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "VA",
            "license": "0101050384",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101050384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006402950",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402950",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.