NPIMap

Individual provider Active NPI

Raymund S Dumaran, M.D.

  • Internal Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1649341678
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101052406 Issued in VA
Practice address
4041 Taylor Rd
Suite G
Chesapeake, VA 23321-5525
Phone
(757) 484-5828
Fax
(757) 484-4371
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101052406 VA Primary

Addresses

Primary practice location

4041 Taylor Rd
Suite G
Chesapeake, VA 23321-5525

Mailing address

4041 Taylor Rd
Suite G
Chesapeake, VA 23321-5525
Phone (757) 484-5828

Other identifiers 6

IdentifierTypeStateIssuer
6063381MedicaidVA
0000000003812OtherVAANTHEM BCBS GROUP NUMBER
101433OtherVACIGNA HEALTHCARE
22241OtherVASENTARA OPTIMA OF VIRGINA
076715OtherVAANTHEM BCBS OF VA
200144OtherVASENTARA OPTIMA VENDOR #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081103000649 VA Practitioner - Internal Medicine 9931205291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Hampton Roads Primary Care LLCGroup PAC ID 0941632756, 62 clinicians

Practice addresses (Care Compare)

3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225

7185 Harbour Towne Pkwy S
Suite 206
Suffolk, VA 23435-3896
Phone (757) 484-5828

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Internists of Churchland, LTD Internal Medicine Current Accepting new patients
Bon Secours Medical Group Hampton Roads Primary Care LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Tidewater Diagnostic Interpreters,Inc Internal Medicine Past Accepting new patients

Locations

4041 Taylor Rd
Ste G
Chesapeake, VA 23321
Phone (757) 483-6404

155 Kingsley Ln
Ste 150
Norfolk, VA 23505
Phone (757) 278-2350

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

Interoperability endpoints

  • Direct secure messaging: rdumaran1150808@direct.bsmhealth.org

Organizations & group practices 3

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1649341678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 TAYLOR RD",
            "address_2": "SUITE G",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215525",
            "telephone_number": "757-484-5828",
            "fax_number": "757-484-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 TAYLOR RD",
            "address_2": "SUITE G",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215525",
            "telephone_number": "757-484-5828",
            "fax_number": "757-484-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMARAN",
        "first_name": "RAYMUND",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101052406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6063381",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS GROUP NUMBER",
            "identifier": "0000000003812",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "101433",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA OF VIRGINA",
            "identifier": "22241",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "076715",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA VENDOR #",
            "identifier": "200144",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.