Prem Krishnan Kutty Nair, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101245671 Issued in VA

Practice address

2901 S Lynnhaven Rd
Virginia Beach, VA 23452-8505

Phone

(432) 703-5507

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SNF LTC Partners of Virginia 28 clinicians

Legacy Healthcare Services Inc 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Hospice Hospice, Richmond, VA, CCN 491645
• Canterbury Rehabilitation and Healthcare Center Nursing home, Richmond, VA, CCN 495272
• Our Lady Of Hope Health Center Nursing home, Richmond, VA, CCN 495311

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• SNF LTC Partners of Virginia

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1982231148

  VA

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine, VA

  Medicare reassignment NPD

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

• Canterbury Operator LLC

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1811546955

  Nursing home

  Care Compare affiliation
• Our Lady of Hope Health Center, Inc

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1477559847

  Nursing home

  Care Compare affiliation
• Trinity Hospice 2, LLC

  • Community Based Hospice Care Agency
  • Richmond, VA
  • NPI 1053904003

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1104026236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-403-5340",
            "fax_number": "432-353-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234528505",
            "telephone_number": "432-703-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "PREM",
        "middle_name": "KRISHNAN KUTTY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35096635",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R6250",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D77710",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2007-01140",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907718",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Nagourney
• Kara Nagy
• Monique Nahrwold
• Cameron Naim
• Preethi Nair, DMD
• Sarah E Nalepa, PT, DPT
• Amy Namsupak, DDS
• Nanis Loving Touch HHC LLC
• Jaclyn Napier, DPT
• Yunaicy Napoles, CPHT

• All providers in Virginia Beach, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.

Verify at the official NPI Registry.