Individual provider Active NPI

Darshana Chadda, DO

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1194920140
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102204387 Issued in VA
Practice address
2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524
Phone
(757) 536-2246
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT011390 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 20A10905 CA
Internal Medicine Physician 207R00000X OP60904169 WA
Internal Medicine Physician 207R00000X 0102204387 VA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 201201867 NC

Addresses

Primary practice location

2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524

Mailing address

2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524
Phone (757) 536-2246

Other names 1

  • Dr. Darshana Chadda Dettmer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160610000695 VA Practitioner - Internal Medicine 1456496850 Reassigns benefits to 3 organizations
I20190305003491 WA Practitioner - Internal Medicine 1456496850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians
Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians

Practice addresses (Care Compare)

2901 S Lynnhaven Rd
Suite 450
Virginia Beach, VA 23452-8524

7600 Autumn Park Way
Mechanicsville, VA 23116-3868
Phone (804) 730-0009

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 536-2246

Hospital & facility affiliations

  • Medi Home Health Agency Home health agency, Chesapeake, VA, CCN 497580
  • Generations Home Health Home health agency, Virginia Beach, VA, CCN 497617
  • Trinity Hospice LLC Hospice, Chesapeake, VA, CCN 491641
  • Portside Health & Rehab Center Nursing home, Portsmouth, VA, CCN 495201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT011390PAMDInternal Medicine Physician
0102204387VAMDInternal Medicine Physician
201201867NCMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Legacy Care LLC CurrentSince Oct 1, 2021 Accepting new patients
Legacy Care Aco LLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Vpa PC Internal Medicine CurrentSince Apr 11, 2016 Accepting new patients
Vpa PC Internal Medicine CurrentSince Apr 11, 2016 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

4201 Greenwood Dr
Portsmouth, VA 23701
Phone (757) 654-1444

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

606 Oakesdale Ave SW
Ste C200
Renton, WA 98057
Phone (866) 259-1629

Organizations & group practices 5

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 4

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1194920140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD STE 450",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234528524",
            "telephone_number": "757-536-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD STE 450",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234528524",
            "telephone_number": "757-536-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDA",
        "first_name": "DARSHANA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT011390",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A10905",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP60904169",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102204387",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "201201867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARSHANA",
            "last_name": "CHADDA DETTMER",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.