Individual provider Active NPI

Jean M Dufour, MD

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1821078031
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101039672 Issued in VA
Practice address
1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Phone
(804) 288-8102
Fax
(804) 282-3744
NPI assigned
Jan 23, 2006
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 0101039672 VA
Neuroradiology Physician 2085N0700X 0101039672 VA
Nuclear Radiology Physician 2085N0904X 0101039672 VA
Pediatric Radiology Physician 2085P0229X 0101039672 VA
Diagnostic Radiology Physician 2085R0202X 0101039672 VA Primary
Vascular & Interventional Radiology Physician 2085R0204X 0101039672 VA
Diagnostic Ultrasound Physician 2085U0001X 0101039672 VA

Addresses

Primary practice location

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421

Mailing address

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Phone (804) 288-8102

Other identifiers 2

IdentifierTypeStateIssuer
1821078031MedicaidVA
224564OtherVAANTHEM

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
I20060426000613 VA Practitioner - Diagnostic Radiology 3476563032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.43 of 100Reported as group
Quality
96.22
Improvement activities
40
Cost
71.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101039672VAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Radiology P C Body Imaging CurrentSince Oct 1, 1994 Accepting new patients
MCV Associated Physicians Pediatric Radiology PastSince Sep 28, 2021 Accepting new patients

Locations (25 of 32)

306 Ashcake Rd
Ste C
Ashland, VA 23005
Phone (804) 798-2908

920 S Main St
Blackstone, VA 23824
Phone (434) 292-7261

281 E Hundred Rd
Chester, VA 23836
Phone (804) 452-1635

436 Clairmont Ct
Ste 101
Colonial Heights, VA 23834
Phone (804) 504-4631

439 Jennick Dr
Colonial Hgts, VA 23834
Phone (804) 524-0890

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

7041 Lee Park Rd
Mechanicsvlle, VA 23111
Phone (804) 723-3337

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13540 Hull Street Rd
Midlothian, VA 23112
Phone (804) 595-1400

13700 St Francis Blvd
Ste 305
Midlothian, VA 23114
Phone (804) 320-2483

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

601 Watkins Centre Pkwy
Ste 150
Midlothian, VA 23114
Phone (804) 893-8484

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

210 Medical Park Blvd
Ste 150
Petersburg, VA 23805
Phone (804) 765-5206

210 Medical Park Blvd
Ste 275
Petersburg, VA 23805
Phone (804) 765-5886

10431 Patterson Ave
Richmond, VA 23238
Phone (804) 277-9011

12320 W Broad St
Richmond, VA 23233
Phone (513) 752-8000

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

1501 Maple Ave
Ste 103
Richmond, VA 23226

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230
Phone (804) 288-8102

2201 Grove Ave
Richmond, VA 23220
Phone (804) 359-1351

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, 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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1821078031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WILLOW LAWN DR",
            "address_2": "STE 117",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303421",
            "telephone_number": "804-288-8102",
            "fax_number": "804-282-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WILLOW LAWN DR",
            "address_2": "STE 117",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303421",
            "telephone_number": "804-288-8102",
            "fax_number": "804-282-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFOUR",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101039672",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101039672",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101039672",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101039672",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101039672",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101039672",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101039672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821078031",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "224564",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.