Individual provider Active NPI

Mikhail O. Chizhikov, M.D.

  • Psychiatry Physician
  • Danville, VA
National Provider Identifier
1265409718
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101226971 Issued in VA
Practice address
291 Park Ave
Danville, VA 24541
Phone
(434) 799-3310
Fax
(434) 799-3317
NPI assigned
Mar 3, 2006
Last updated
Jun 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101226971 VA Primary

Addresses

Primary practice location

291 Park Ave
Danville, VA 24541

Mailing address

291 Park Avenue
Danville, VA 24541
Phone (434) 799-3310

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040716000412 VA Practitioner - Psychiatry 5799764338 Reassigns benefits to 1 organization
Practice locations: Danville, VA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

291 Park Ave
Danville, VA 24541-4233
Phone (434) 799-3310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101226971VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Virginia Department of Behavioral Health and Southern CurrentSince Jul 1, 2016 Accepting new patients
Piedmont Counseling Center Past Accepting new patients
Virginia Psychiatric Associates, Inc. Psychiatry Past Accepting new patients

Locations

382 Taylor Dr
Danville, VA 24541
Phone (434) 773-4240

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1265409718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 PARK AVENUE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-799-3310",
            "fax_number": "434-799-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 PARK AVE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-799-3310",
            "fax_number": "434-799-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIZHIKOV",
        "first_name": "MIKHAIL",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101226971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.