NPIMap

Individual provider Active NPI

Shashi Kumar Prabhakar, M.D.

  • Cardiovascular Disease Physician
  • Midlothian, VA
National Provider Identifier
1033197389
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101232902 Issued in VA
Practice address
13700 St Francis Blvd
Suite 600
Midlothian, VA 23114-3222
Phone
(804) 794-6400
Fax
(804) 897-0910
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101232902 VA
Cardiovascular Disease Physician 207RC0000X 0101232902 VA Primary

Addresses

Primary practice location

13700 St Francis Blvd
Suite 600
Midlothian, VA 23114-3222

Mailing address

13700 St Francis Blvd
Suite 600
Midlothian, VA 23114-3222
Phone (804) 794-6400

Other identifiers 1

IdentifierTypeStateIssuer
C09462OtherVAGROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000788 VA Practitioner - Internal Medicine 8527967173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11601 Iron Bridge Rd
Suite 200
Chester, VA 23831-1468
Phone (804) 285-6018

12310 W Broad St
Suite 204
Richmond, VA 23233-7606
Phone (804) 288-3123

13710 St Francis Blvd
Suite 600
Midlothian, VA 23114-3267
Phone (804) 794-6400

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 281-8222

5855 Bremo Rd
Suite 306
Richmond, VA 23226-1923
Phone (804) 287-7650

7001 Forest Ave
Richmond, VA 23230-1726

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Mary'S Hospital of Richmond LLC Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Aug 1, 2012 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients

Locations

13700 St Francis Blvd
Ste 600
Midlothian, VA 23114
Phone (804) 794-6400

13710 St Francis Blvd
Ste 600
Midlothian, VA 23114
Phone (804) 764-6400

7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275

7001 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-3123

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1033197389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 600",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-794-6400",
            "fax_number": "804-897-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 600",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-794-6400",
            "fax_number": "804-897-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHAKAR",
        "first_name": "SHASHI",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101232902",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101232902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09462",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.