Virtual Consult MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

VIRTUAL CONSULT MD LLC

Doing business as

Virtual Consult MD, LLC

Practice address

2202 Hwy 41 North
Unit E 152
Hendereson, KY 42420

Phone

(812) 848-2322

Fax

(812) 727-5469

NPI assigned

Aug 27, 2020

Last updated

Dec 20, 2023By 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

Dr. Neil Jariwala, MDNPI 1710206545

Title

Owner

Phone

(678) 200-0048

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Virtual Consult MD, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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.

• Neil Jariwala, M.D.

  • Psychiatry Physician
  • Maywood, IL
  • NPI 1710206545

  KY

  Medicare reassignment NPD Authorized official
• Sharon Jeanette Williams, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Evansville, IN
  • NPI 1669973822

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1174136337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148002",
            "telephone_number": "812-720-3800",
            "fax_number": "812-727-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 HWY 41 NORTH",
            "address_2": "UNIT E 152",
            "city": "HENDERESON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "812-848-2322",
            "fax_number": "812-727-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Triplett St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423033120",
            "country_code": "US",
            "telephone_number": "812-720-3800",
            "fax_number": "812-727-5469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRTUAL CONSULT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "JARIWALA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-200-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "53374",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EVANSVILLE",
            "affiliation": "N",
            "endpointDescription": "HENDERSON",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Alpharetta",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2202 HWY 41 NORTH",
            "address_2": "UNIT E 152",
            "city": "HENDERSON",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Virtual Consult MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virtual Consult MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.