Individual provider Active NPI

Jean-Marie Kakubudia Mpoy Kanyinda, MD

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1700809894
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101254723 Issued in VA
Practice address
901 E Princess Anne Rd
Norfolk, VA 23504-2732
Phone
(757) 626-1642
Fax
(757) 626-1971
NPI assigned
Jul 26, 2006
Last updated
Apr 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 95307 NM
Internal Medicine Physician 207R00000X 0101254723 VA Primary

Addresses

Primary practice location

901 E Princess Anne Rd
Norfolk, VA 23504-2732

Mailing address

6917 Catherine St
Norfolk, VA 23505-4306
Phone (757) 388-9925

Other practice location 1

112 N Constitution Dr
Yorktown, VA 23692-2792
Phone (757) 890-0675

Other identifiers 1

IdentifierTypeStateIssuer
F3629MedicaidNM

Other names 1

  • Kanyinda Kakubudia Mpoy Former name

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
I20140114000063 VA Practitioner - Internal Medicine 2668365933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

1801 Camelot Dr
Virginia Beach, VA 23454-2401
Phone (757) 481-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Sep 23, 2025 Accepting new patients
M Medical Group, Inc. Internal Medicine CurrentSince May 11, 2023 Accepting new patients
Virginia Internal Medicine Inc Internal Medicine CurrentSince Oct 20, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince May 11, 2023 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

688 Kingsborough Sq
Chesapeake, VA 23320
Phone (757) 547-9111

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

901 E Princess Anne Rd
Norfolk, VA 23504
Phone (757) 547-4528

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

1801 Camelot Dr
Virginia Beach, VA 23454
Phone (757) 481-3500

1948 Landstown Centre Way
Virginia Beach, VA 23456
Phone (751) 821-7500

112 N Constitution Dr
Yorktown, VA 23692
Phone (757) 890-0675

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1700809894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 CATHERINE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054306",
            "telephone_number": "757-388-9925",
            "fax_number": "757-793-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E PRINCESS ANNE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042732",
            "telephone_number": "757-626-1642",
            "fax_number": "757-626-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N Constitution Dr",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236922792",
            "country_code": "US",
            "telephone_number": "757-890-0675",
            "fax_number": "757-890-2954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MPOY KANYINDA",
        "first_name": "JEAN-MARIE",
        "middle_name": "KAKUBUDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "95307",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F3629",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANYINDA",
            "last_name": "MPOY",
            "middle_name": "KAKUBUDIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.