Active NPI
Jonathan Murugasan, N.P.
- Family Nurse Practitioner
- South Boston, VA
National Provider Identifier
1861412066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024166658
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Health Medical Assoc | Current | Accepting new patients | |
| Dominion Health Medical Assoc. | Current | Accepting new patients | |
| Dominion Health Medical Associates LTD | Current | Accepting new patients | |
| Commonwealth of Virginia Department of Behavioral Health and Southern | Current | Accepting new patients | |
| University of Virginia Physicians Group | Past | 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.
-
- Hospitalist Physician
- Danville, VA
- NPI 1386704898
-
- Ambulatory Surgical Clinic/Center
- South Boston, VA
- NPI 1255771770
-
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1356138879
-
- Community/Behavioral Health Agency
- South Boston, VA
- NPI 1215411483
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.