Active NPI
Vidya Raghavan, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 0101253367
- Practice address
- 5855 Bremo Rd
Suite 408
Richmond, VA 23226-1930 - Phone
- (804) 288-2673
- Fax
- (804) 285-5572
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60901847 | WA | |
| Internal Medicine Physician | 207R00000X | 240418 | MA | |
| Internal Medicine Physician | 207R00000X | 0101253367 | VA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 0101253367 | VA | Primary |
Addresses
Primary practice location
5855 Bremo Rd
Suite 408
Richmond, VA 23226-1930
Mailing address
5855 Bremo Rd
Suite 408
Richmond, VA 23226-1930
Phone (804) 288-2673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06778 | Other | VA | GROUP PTAN |
Other names 1
- Vidya Raghavan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4000 Garden City Dr
Hyattsville, MD 20785-2368
Hospital & facility affiliations
- Our Lady Of Hope Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240418 | MA | MD | Internal Medicine Physician |
| MD60901847 | WA | MD | Internal Medicine Physician |
| 0101253367 | VA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
Locations
4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
13700 N Gayton Rd
Richmond, VA 23233
Phone (804) 360-1960
1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474
5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275
5855 Bremo Rd
Ste 408
Richmond, VA 23226
Phone (804) 288-2673
1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1861050635
Internal Medicine
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1699311324
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
- Family Medicine Physician
- Richmond, VA
- NPI 1982231148
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
- Family Medicine Physician
- Richmond, VA
- NPI 1780961029
-
- Land Ambulance
- Richmond, VA
- NPI 1124772470
-
- Health Maintenance Organization
- Washington, DC
- NPI 1093016933
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Richmond, VA
- NPI 1477559847
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1194955286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 BREMO RD",
"address_2": "SUITE 408",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261930",
"telephone_number": "804-288-2673",
"fax_number": "804-285-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 BREMO RD",
"address_2": "SUITE 408",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261930",
"telephone_number": "804-288-2673",
"fax_number": "804-285-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGHAVAN",
"first_name": "VIDYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60901847",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "240418",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101253367",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "VA",
"license": "0101253367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIDYA",
"last_name": "RAGHAVAN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.