Individual provider Active NPI

Boshra George Zakhary, MD

  • Cardiovascular Disease Physician
  • Danville, VA
National Provider Identifier
1205872264
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101044807 Issued in VA
Practice address
201 S Main St Ste 1100
Danville, VA 24541-2938
Phone
(434) 792-9110
Fax
(434) 799-6074
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101044807 VA Primary

Addresses

Primary practice location

201 S Main St Ste 1100
Danville, VA 24541-2938

Mailing address

201 S Main St Ste 1100
Danville, VA 24541-2938
Phone (434) 792-9110

Other identifiers 2

IdentifierTypeStateIssuer
006028039MedicaidVA
065383OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20120321000567 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143217844 Reassigns benefits to 1 organization
I20161004000411 NC Practitioner - Cardiovascular Disease (Cardiology) 0143217844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians

Practice addresses (Care Compare)

201 S Main St
Suite 1100
Danville, VA 24541-2938
Phone (434) 791-3009

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC CurrentSince Feb 14, 2016 Accepting new patients
Two Rivers Physician Practices, LLC CurrentSince Jun 1, 2016 Accepting new patients
Danville Physician Practices LLC Cardiovascular Disease CurrentSince Feb 14, 2016 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Solstas Lab Partners Group LLC Past Accepting new patients

Locations

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

201 S Main St
Ste 1100
Danville, VA 24541
Phone (434) 791-3009

Interoperability endpoints

  • Direct secure messaging: boshra.zakhary.1@19847.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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 2

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1205872264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST STE 1100",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412938",
            "telephone_number": "434-792-9110",
            "fax_number": "434-799-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST STE 1100",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412938",
            "telephone_number": "434-792-9110",
            "fax_number": "434-799-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHARY",
        "first_name": "BOSHRA",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101044807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006028039",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "065383",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.