NPIMap

Organization Active NPI

Virginia Gastroenterology Institute PC

Doing business as Vgi

  • Gastroenterology Physician
  • Franklin, VA
National Provider Identifier
1134593494
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01010231641 Issued in VA
Legal business name
VIRGINIA GASTROENTEROLOGY INSTITUTE PC
Doing business as
Vgi
Practice address
102 Fairview Dr
Suite B
Franklin, VA 23851-1226
Phone
(757) 942-2566
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Pramod MalikNPI 1902882954
Title
Owner
Phone
(757) 942-2566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 01010231641 VA Primary

Addresses

Primary practice location

102 Fairview Dr
Suite B
Franklin, VA 23851-1226

Mailing address

4017 River Park Dr
Suffolk, VA 23435-3356

Other names 1

  • VGI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160129000384 VA Part B Supplier - Clinic/Group Practice 1951604677 Receives reassigned benefits from 15 practitioners
Practice locations: Suffolk, VA

National Provider Directory

National Provider Directory

Locations

2790 Godwin Blvd
Ste 320
Suffolk, VA 23434
Phone (757) 942-2566

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12739/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1134593494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 RIVER PARK DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW DR",
            "address_2": "SUITE B",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511226",
            "telephone_number": "757-942-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA GASTROENTEROLOGY INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-942-2566"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "01010231641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VGI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.