Vijaya Lakshmi Chirumamilla, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0101044813 Issued in VA

Practice address

3400 S Crater Rd
Suite B
Petersburg, VA 23805-9211

Phone

(804) 733-6960

Fax

(804) 733-3880

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

22.12 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

73.72

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southside Kidney Specialists

  • Nephrology Physician
  • Petersburg, VA
  • NPI 1033130026

  Single Specialty

  Medicare reassignment NPD Authorized official
• Southside Kidney Specialists

  • Nephrology Physician
  • Petersburg, VA
  • NPI 1508201385

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1194773994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S CRATER RD",
            "address_2": "SUITE B",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059211",
            "telephone_number": "804-733-6960",
            "fax_number": "804-733-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S CRATER RD",
            "address_2": "SUITE B",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059211",
            "telephone_number": "804-733-6960",
            "fax_number": "804-733-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRUMAMILLA",
        "first_name": "VIJAYA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101044813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006034403",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Cheatham, PA-C
• Catherine E Cheek, NP
• Nikia Rene Chennault, PT, DPT, MPH
• Childrens Endodontic Services, PC
• Chiro One Wellness Center of Petersburg LLC
• Heather Chong, RPH
• Shauna Holland Christian, LPC, CSAC
• Michael W Cieslinski, M.D.
• City of Petersburg
• Citywide Transportation LLC

• Nephrology Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.