NPIMap

Individual provider Active NPI

Latha Nachimuthu, M.D.

  • Hospitalist Physician
  • Falls Church, VA
National Provider Identifier
1124098967
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101244402 Issued in VA
Practice address
3300 Gallows Road
Department of Medicine
Falls Church, VA 22042-3307
Phone
(703) 776-3582
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101244402 VA Primary

Addresses

Primary practice location

3300 Gallows Road
Department of Medicine
Falls Church, VA 22042-3307

Mailing address

3300 Gallows Road
Department of Medicine
Falls Church, VA 22042-3307
Phone (703) 776-3582

Other practice location 1

901 N Porter Ave
Norman, OK 73071-6404
Phone (405) 307-1000

Other identifiers 1

IdentifierTypeStateIssuer
1124098967MedicaidVA

Other names 1

  • Latha Gopal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090113000123 DC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6800874959 Reassigns benefits to 1 organization
I20191010000015 OK Practitioner - HospitalistPractitioner - Geriatric MedicinePractitioner - Internal Medicine 6800874959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Geriatric Medicine, Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Healthcare Solutions, PLLCGroup PAC ID 7618255118, 18 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

4220 N Classen Blvd
Suite a
Oklahoma City, OK 73118-2416
Phone (405) 768-5749

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

  • Mercy Hospice Hospice, Oklahoma City, OK, CCN 371509
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • McBride Orthopedic Hospital Hospital, Oklahoma City, OK, CCN 370222
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101244402VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Solutions, PLLC CurrentSince Nov 1, 2019 Accepting new patients
Lync Health PC CurrentSince Oct 18, 2015 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jul 13, 2020 Accepting new patients
Cogent Healthcare of Texas, PA Hospitalist CurrentSince Feb 1, 2022 Accepting new patients
Metro Physicians LLC Hospitalist CurrentSince Jul 9, 2023 Accepting new patients
Inova Health Care Services CurrentSince Mar 19, 2012 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Ignite Medical Resort Okc, LLC Past Accepting new patients

Locations

315 SW 80th St
Oklahoma City, OK 73139
Phone (214) 272-2774

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

6312 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 595-0654

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530

Interoperability endpoints

  • Direct secure messaging: lnachimuthu363124@direct-ehr-ssmhc.com
  • Direct secure messaging: latha.nachimuthu.1@17785.direct.athenahealth.com
  • Direct secure messaging: lnachimuthu230681@direct.integrisok.com

Organizations & group practices 9

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 10

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1124098967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS ROAD",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS ROAD",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-3582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730716404",
            "country_code": "US",
            "telephone_number": "405-307-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACHIMUTHU",
        "first_name": "LATHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101244402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124098967",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATHA",
            "last_name": "GOPAL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.