Thomas Kayrouz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101-042234 Issued in VA

Practice address

102 Highland Ave SE
Roanoke, VA 24013-2255

Phone

(540) 224-4545

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Riverside Hospital Inc

  • General Acute Care Hospital
  • Smithfield, VA
  • NPI 1366259863
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1952373342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 TUCKER LN",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132255",
            "telephone_number": "540-224-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYROUZ",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101-042234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6723896",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6724442",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D Kauffman, DO
• Patty Kaufman, BBA
• Ashutosh Kaushal, M.D.
• Julia Kawas
• Lisa Ann Kaye, MSN, APRN, ACNPC-AG
• Ali Kazemi, MD
• Hasan Kazmi, PHARMD
• Kci USA, Inc.
• Kristopher Kearney
• Senaida Smajovic Keating, M. D.

• Pediatrics Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.