Gouthami Ratna Chennu

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

0101285139 Issued in VA

Practice address

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990

Phone

(804) 520-1764

NPI assigned

Mar 20, 2018

Reactivated

Mar 27, 2018

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CJW Medical Center Hospital, Richmond, VA, CCN 490112
• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
• Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092
• Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gouthami.chennu.1@31267.direct.athenahealth.com

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.

• James River Cardiology, LLC

  dba Colonial Heart

  • Cardiovascular Disease Physician
  • Colonial Heights, VA
  • NPI 1407157647
  Medicare reassignment Care Compare group NPD
• Aligned Interventional Center

  • Interventional Cardiology Physician
  • Henrico, VA
  • NPI 1881473247
  Medicare reassignment NPD
• Paladin Dermatology LLC

  • Nurse Practitioner
  • Petersburg, VA
  • NPI 1225417082
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours Mercy Health Emporia LLC

  dba Bon Secours Southern Virginia Medical Center

  • General Acute Care Hospital
  • Emporia, VA
  • NPI 1104461276
  Care Compare affiliation
• Bon Secours Mercy Health Franklin LLC

  dba Bon Secours - Southampton Medical Center

  • General Acute Care Hospital
  • Franklin, VA
  • NPI 1851936983
  Care Compare affiliation
• Bon Secours Mercy Health Petersburg LLC

  dba Bon Secours - Southside Medical Center

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853
  Care Compare affiliation
• Chippenham & Johnston-Willis Hospitals Inc

  dba CJW Medical Center

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  dba TriCities Hospital

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248
  Care Compare affiliation

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1265936827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-520-1764",
            "fax_number": "804-616-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342990",
            "telephone_number": "804-520-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Avenue",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07112",
            "country_code": "US",
            "telephone_number": "973-926-7425",
            "fax_number": "973-926-6130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8006 Discovery Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232298600",
            "country_code": "US",
            "telephone_number": "804-554-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENNU",
        "first_name": "GOUTHAMI",
        "middle_name": "RATNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "deactivation_date": "2018-03-20",
        "reactivation_date": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA1102000",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101285139",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101285139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana L Chaffee, PMHNP-BC, FNP-C
• Carrie L Chamberlain, PT, DPT
• Nellie Sue Chamblee, FNP-C
• Dianne E Chapman, RPH
• Markiya Cheatham
• Nijah M Chinn, PT, MHA
• Chiro One Wellness Center of Colonial Heights LLC
• Ming Sung Chiu, M.D.
• Lisa Yunjung Chung
• Kimberly Ann Church, FNP-BC

• Interventional Cardiology Physician in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Interventional Cardiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.

Verify at the official NPI Registry.