NPIMap

Individual provider Active NPI

Siddharth Khanna, M.D

  • Hospitalist Physician
  • Suffolk, VA
National Provider Identifier
1225238611
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101243952 Issued in VA
Practice address
2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone
(757) 934-4822
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101243952 VA
Hospitalist Physician 208M00000X 0101243952 VA Primary

Addresses

Primary practice location

2800 Godwin Blvd
Suffolk, VA 23434-8038

Mailing address

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 934-4822

Other practice location 1

100 Fairview Dr
Franklin, VA 23851-1238
Phone (757) 516-1153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080902000374 VA Practitioner - HospitalistPractitioner - Internal Medicine 8628144433 Reassigns benefits to 7 organizations
I20101021001233 NC Practitioner - HospitalistPractitioner - Internal Medicine 8628144433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Hamilton Acquisition Corp.Group PAC ID 7012803281, 5 clinicians
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

1100 1St Colonial Rd
Virginia Beach, VA 23454-2403
Phone (757) 463-5240

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101243952VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SE Virginia Value Based Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Dec 18, 2019 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Sound Physicians of North Carolina, PLLC Internal Medicine CurrentSince Jun 29, 2014 Accepting new patients
Riverside Physician Services Inc CurrentSince Feb 13, 2017 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Internal Medicine CurrentSince Apr 8, 2021 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Dec 18, 2019 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Jun 27, 2019 Accepting new patients
Hamilton Acquisition Corp. CurrentSince Jun 1, 2025 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Nov 21, 2017 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Feb 13, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Jun 27, 2019 Accepting new patients
Arnot Medical Services PLLC Internal Medicine Past Accepting new patients
757 Medical Group LC PastSince Aug 17, 2017 Accepting new patients

Locations

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

814 Greenbrier Cir
Ste H
Chesapeake, VA 23320

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

155 Kingsley Ln
Ste 150
Norfolk, VA 23505
Phone (757) 278-2350

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

1100 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 463-5240

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 11

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1225238611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348038",
            "telephone_number": "757-934-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348038",
            "telephone_number": "757-934-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Fairview Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "VA",
            "postal_code": "238511238",
            "country_code": "US",
            "telephone_number": "757-516-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "SIDDHARTH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101243952",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101243952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.