Individual provider Active NPI

Daniel Joseph Dean Jr., D.O.

  • Nephrology Physician
  • Portsmouth, VA
National Provider Identifier
1922329754
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0102206310 Issued in VA
Practice address
620 John Paul Jones Circle
Naval Medical Center Nephrology Clinic
Portsmouth, VA 23708
Phone
(757) 953-2051
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A13439 CA
Internal Medicine Physician 207R00000X 5101019629 MI
Nephrology Physician 207RN0300X 0102206310 VA Primary

Addresses

Primary practice location

620 John Paul Jones Circle
Naval Medical Center Nephrology Clinic
Portsmouth, VA 23708

Mailing address

620 John Paul Jones Circle
Naval Medical Center Nephrology Clinic
Portsmouth, VA 23708
Phone (757) 953-2051

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
I20230502001003 VA Practitioner - NephrologyPractitioner - Internal Medicine 5890934202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidewater Kidney Specialists IncGroup PAC ID 6507852662, 21 clinicians

Practice addresses (Care Compare)

300 Medical Pkwy
Suite 110
Chesapeake, VA 23320-4985
Phone (757) 623-0005

Hospital & facility affiliations

  • DaVita Chesapeake Dialysis Center Dialysis facility, Chesapeake, VA, CCN 492545
  • DaVita Great Bridge Dialysis Center Dialysis facility, Chesapeake, VA, CCN 492604
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
69.68
Promoting interoperability
100
Improvement activities
40
Cost
74.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13439CAMDInternal Medicine Physician
0102206310VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Kidney Specialists, Inc. Nephrology CurrentSince May 1, 2023 Accepting new patients
Tidewater Kidney Specialists, Inc. Nephrology CurrentSince May 1, 2023 Accepting new patients

Locations

300 Medical Pkwy
Ste 110
Chesapeake, VA 23320
Phone (757) 436-1005

814 Kempsville Rd
Ste 102
Norfolk, VA 23502

301 Riverview Ave
Ste 512
Norfolk, VA 23510
Phone (757) 627-5116

4445 Corporation Ln
Ste 100
Virginia Beach, VA 23462

Interoperability endpoints

  • Direct secure messaging: danieldean@tks.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1922329754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIRCLE",
            "address_2": "NAVAL MEDICAL CENTER NEPHROLOGY CLINIC",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIRCLE",
            "address_2": "NAVAL MEDICAL CENTER NEPHROLOGY CLINIC",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A13439",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019629",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0102206310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.