KSP Health-VA LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KSP HEALTH-VA LLC

Practice address

8001 Franklin Farms Dr RM 127
Henrico, VA 23229-5100

Phone

(804) 282-9133

Fax

(804) 282-9135

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Muthukumar Vellaichamy, MDNPI 1396778973

Title

Sole Member

Phone

(316) 516-2853

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muthukumar Vellaichamy, M.D.

  • Pediatric Critical Care Medicine Physician
  • Topeka, KS
  • NPI 1396778973
  NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1114757531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR RM 127",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295100",
            "telephone_number": "804-282-9133",
            "fax_number": "804-282-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR RM 127",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295100",
            "telephone_number": "804-282-9133",
            "fax_number": "804-282-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSP HEALTH-VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "VELLAICHAMY",
        "authorized_official_first_name": "MUTHUKUMAR",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "316-516-2853",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Limited Partnership I (Kroger Pharmacy #519)
• Kroger Limited Partnership I (Kroger Pharmacy #517)
• Julie Kathleen Krupacs, LCSW
• Michelle Krushelnisky
• Ksi Medical Transportation LLC
• KTS Logistics LLC
• Kylie Getz LLC
• Robyn Lacy
• Lafayette Family Services
• Elizabeth Dye Lahendro, LPC, PSC

• Family Medicine Physician in Henrico, VA
• Providers in Henrico, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.