NPIMap

Individual provider Active NPI

Sudhendu Choubey, M.D.

  • Cardiovascular Disease Physician
  • Radford, VA
National Provider Identifier
1104827088
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101-058790 Issued in VA
Practice address
401 E Main St
Radford, VA 24141-1721
Phone
(540) 283-7252
Fax
(540) 639-0664
NPI assigned
Aug 2, 2005
Last updated
Apr 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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 0101058790 VA
Cardiovascular Disease Physician 207RC0000X 0101-058790 VA Primary

Addresses

Primary practice location

401 E Main St
Radford, VA 24141-1721

Mailing address

2602Franklin Rd
Roanoke, VA 24014-1010
Phone (540) 343-8565

Other identifiers 5

IdentifierTypeStateIssuer
CF9878OtherVARR MEDICARE GROUP
5822360MedicaidVA
6072771MedicaidVA
010248515MedicaidVA
010104556MedicaidVA

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
I20041123000366 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 4385609965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Care of Virginia PCGroup PAC ID 9739174640, 19 clinicians

Practice addresses (Care Compare)

401 E Main St
Radford, VA 24141-1721
Phone (540) 283-7252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-058790VAMDCardiovascular Disease Physician
0101058790VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Care of Virginia PC Cardiovascular Disease CurrentSince Jan 1, 1999 Accepting new patients

Locations

2900 Lamb Cir
Ste 230
Christiansburg, VA 24073
Phone (540) 731-3172

401 E Main St
Radford, VA 24141
Phone (540) 283-7252

2602 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 343-5968

Interoperability endpoints

  • Direct secure messaging: sudhenduchoubey@pcv.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1104827088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602FRANKLIN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141010",
            "telephone_number": "540-343-8565",
            "fax_number": "540-344-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411721",
            "telephone_number": "540-283-7252",
            "fax_number": "540-639-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUBEY",
        "first_name": "SUDHENDU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101058790",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101-058790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CF9878",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5822360",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6072771",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010248515",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010104556",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

Verify at the official NPI Registry.