NPIMap

Individual provider Active NPI

Jerry Alan McQuain, MPT. D.O.

  • Internal Medicine Physician
  • Newport News, VA
National Provider Identifier
1770677254
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102204139 Issued in VA
Practice address
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone
(757) 612-7277
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 0102204139 VA
Internal Medicine Physician 207R00000X 0102204139 VA Primary

Addresses

Primary practice location

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

Mailing address

4043 Northridge St
Williamsburg, VA 23185-3875

Other names 1

  • Dr. Jerry Alan McQuain Professional name

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
I20150810002442 VA Practitioner - Hospitalist 4688894272 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Hospital IncGroup PAC ID 1557271293, 47 clinicians
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

10510 Jefferson Ave
A
Newport News, VA 23601-3102
Phone (757) 594-3800

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

856 J Clyde Morris Blvd
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

Hospital & facility affiliations

  • Riverside Home Health Home health agency, Newport News, VA, CCN 497467
  • Liberty Home Care and Hospice Hospice, Wilmington, NC, CCN 341569
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102204139VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Jul 13, 2015 Accepting new patients
Clark Pulmonary Group CurrentSince Jul 1, 2022 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Riverside Hospital Inc Internal Medicine Current Accepting new patients
Riverside Physician Services Inc CurrentSince Oct 1, 2017 Accepting new patients
Clark Palliative Medicine Group Hospice and Palliative Medicine CurrentSince Jul 1, 2022 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Clark Alliance Services Inc Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Riverside Hospital Inc CurrentSince Sep 22, 2024 Accepting new patients
Riverside Hospital Inc. CurrentSince Sep 22, 2024 Accepting new patients
LHCG Cxcix, LLC PastSince Jun 1, 2021 Accepting new patients

Locations

2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020

10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

500 J Clyde Morris Blvd
#4
Newport News, VA 23601
Phone (757) 276-5020

500 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107

2800 Godwin Blvd
Ste 240
Suffolk, VA 23434
Phone (757) 934-4550

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

Interoperability endpoints

  • Direct secure messaging: jmcquain63685@direct.rivhs.com

Organizations & group practices 11

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1770677254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 NORTHRIDGE ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-612-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAIN",
        "first_name": "JERRY",
        "middle_name": "ALAN",
        "credential": "MPT. D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0102204139",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102204139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "MCQUAIN",
            "middle_name": "ALAN",
            "prefix": "DR.",
            "credential": "MPT, D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.