NPIMap

Individual provider Active NPI

Richard Prokopchak, MD

  • Interventional Cardiology Physician
  • Salem, VA
National Provider Identifier
1083685911
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101047984 Issued in VA
Practice address
2850 Keagy Rd
Salem, VA 24153-7458
Phone
(540) 375-9375
Fax
(540) 375-9376
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101047984 VA
Interventional Cardiology Physician 207RI0011X 0101047984 VA Primary

Addresses

Primary practice location

2850 Keagy Rd
Salem, VA 24153-7458

Mailing address

2850 Keagy Rd
Salem, VA 24153-7458
Phone (540) 375-9375

Other identifiers 2

IdentifierTypeStateIssuer
P00290780OtherVAMEDICARE RAILROAD
006096891MedicaidVA

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
I20051130000117 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9436179884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Georgetown University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians

Practice addresses (Care Compare)

2850 Keagy Rd
Salem, VA 24153-7458
Phone (540) 375-9375

445 Charles H Dimmock Pkwy
Suite 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as individual
Quality
95
Promoting interoperability
92
Improvement activities
40
Cost
78.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101047984VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Virginia Cardiology PC Cardiovascular Disease CurrentSince Oct 1, 2010 Accepting new patients
James River Cardiology, LLC Cardiovascular Disease CurrentSince Jan 1, 2026 Accepting new patients

Locations

445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834

2850 Keagy Rd
Salem, VA 24153
Phone (540) 375-9375

Interoperability endpoints

  • Direct secure messaging: rprokopchak@1809.securemail.mdnavigatorclinical.com

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 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1083685911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 KEAGY RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537458",
            "telephone_number": "540-375-9375",
            "fax_number": "540-375-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 KEAGY RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537458",
            "telephone_number": "540-375-9375",
            "fax_number": "540-375-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOPCHAK",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101047984",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101047984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00290780",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006096891",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.