Individual provider Active NPI

Jonathan Murugasan, N.P.

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1861412066
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166658 Issued in VA
Practice address
101 Aubreys Loop
South Boston, VA 24592-5056
Phone
(434) 517-3879
Fax
(434) 517-3989
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024166658 VA Primary

Addresses

Primary practice location

101 Aubreys Loop
South Boston, VA 24592-5056

Mailing address

2940 R and L Smith Dr
Danville, VA 24540-7924
Phone (434) 724-7490

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060803000359 VA Practitioner - Nurse Practitioner 5597778860 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Health Medical Assoc CurrentSince Dec 12, 2011 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Dominion Health Medical Associates LTD CurrentSince Dec 12, 2011 Accepting new patients
Commonwealth of Virginia Department of Behavioral Health and Southern CurrentSince Nov 19, 2021 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients

Locations

382 Taylor Dr
Danville, VA 24541
Phone (434) 773-4240

101 Aubreys Loop
South Boston, VA 24592
Phone (434) 517-3879

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1861412066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 R AND L SMITH DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245407924",
            "telephone_number": "434-724-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUBREYS LOOP",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925056",
            "telephone_number": "434-517-3879",
            "fax_number": "434-517-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURUGASAN",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.