Active NPI
Daniel Joseph Dean Jr., D.O.
- Nephrology Physician
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 0102206310
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Philadelphia College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Medical Pkwy
Suite 110
Chesapeake, VA 23320-4985
Phone (757) 623-0005
Hospital & facility affiliations
- DaVita Chesapeake Dialysis Center
- DaVita Great Bridge Dialysis Center
- Chesapeake General Hospital
- Sentara Obici Hospital
- Sentara Leigh Hospital
- Sentara Princess Anne Hospital
- Sentara Norfolk General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13439 | CA | MD | Internal Medicine Physician |
| 0102206310 | VA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Kidney Specialists, Inc. | Nephrology | Current | Accepting new patients |
| Tidewater Kidney Specialists, Inc. | Nephrology | Current | 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
- 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.
-
- Nephrology Physician
- Virginia Beach, VA
- NPI 1780624627
-
- Nephrology Physician
- Norfolk, VA
- NPI 1053678839
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chesapeake, VA
- NPI 1740244987
Dialysis facility
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.