Individual provider Active NPI

Thomas Janus, D.O.

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1881657666
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102036807 Issued in VA
Practice address
418 Chatham Square Office Park
Fredericksburg, VA 22405-2561
Phone
(540) 371-4700
Fax
(540) 373-0942
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102036807 VA Primary

Addresses

Primary practice location

418 Chatham Square Office Park
Fredericksburg, VA 22405-2561

Mailing address

120 Executive Center Pkwy
Suite 215
Fredericksburg, VA 22401-3100
Phone (540) 374-5097

Other identifiers 1

IdentifierTypeStateIssuer
5660599MedicaidVA

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
I20090209000267 VA Practitioner - Family Practice 4082669304 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102036807VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital Inc. CurrentSince Sep 1, 2008 Accepting new patients
Mary Washington Hospital, Inc. Current Accepting new patients
Mary Washington Healthcare Physicians Family Medicine Current Accepting new patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients

Locations

1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

120 Executive Center Pkwy
Ste 121
Fredericksburg, VA 22401

418 Chatham Square Office Park
Fredericksburg, VA 22405
Phone (540) 371-4700

10502 Rhoads Dr
Fredericksburg, VA 22407
Phone (540) 710-9100

120 Executive Center Pkwy
Ste 215
Fredericksburg, VA 22401

422 Garrisonville Rd
Ste 102
Stafford, VA 22554
Phone (540) 657-4800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1881657666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EXECUTIVE CENTER PKWY",
            "address_2": "SUITE 215",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013100",
            "telephone_number": "540-374-5097",
            "fax_number": "540-374-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052561",
            "telephone_number": "540-371-4700",
            "fax_number": "540-373-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUS",
        "first_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102036807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5660599",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.