Active NPI
Sudeep Kuchibhotla
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 263915
- Practice address
- 800 Washington St
Boston, MA 02111-1552 - Phone
- (617) 636-5000
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 263915 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Boston, MA 02111-1552
Mailing address
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Florida State University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500
7611 Forest Ave
Suite 100
Richmond, VA 23229-4946
Phone (804) 288-4827
Hospital & facility affiliations
- Henrico Doctors' Hospital
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.6 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.57
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 32 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Cardiovascular Specialists | Current | Accepting new patients | |
| Virginia Cardiovascular Specialists | Current | Accepting new patients | |
| Chippenham & Johnston-Willis Hospitals, Inc. | Current | Accepting new patients | |
| Chippenham & Johnston-Willis Hospitals, Inc. | Current | Accepting new patients | |
| HCA Health Services of Virginia, Inc. | Current | Accepting new patients | |
| Privia Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
8007 Discovery Dr
Ste B
Henrico, VA 23229
Phone (804) 528-4444
7505 Right Flank Rd
Ste 700
Mechanicsville, VA 23116
Phone (804) 559-0405
6120 Harbourside Centre Loop
Midlothian, VA 23112
Phone (804) 915-1400
4700 Puddledock Rd
Ste 400
Prince George, VA 23875
Phone (804) 458-1740
1850 Pocahontas Trl
Quinton, VA 23141
Phone (804) 932-4388
8700 Stony Point Pkwy
Ste 120
Richmond, VA 23235
Phone (804) 323-5011
5875 Bremo Rd
Ste 104
Richmond, VA 23226
Phone (804) 281-8182
1630 Wilkes Ridge Pkwy
Ste 303
Richmond, VA 23233
Phone (804) 708-0445
7611 Forest Ave
Ste 100
Richmond, VA 23229
Phone (804) 288-4827
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
7611 Forest Ave
Ste 100A
Richmond, VA 23229
Phone (804) 288-4827
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
8001 Franklin Farms Dr
Rm 130
Richmond, VA 23229
Phone (804) 521-5800
1396 Tappahannock Blvd
Unit B
Tappahannock, VA 22560
Phone (804) 288-4827
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- sudeep.kuchibhotla.p1@direct.vacardio.nextgenshare.com
- sudeep.kuchibhotla.p2@direct.vacardio.nextgenshare.com
Organizations & group practices 6
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.
-
- Electrodiagnostic Medicine Physician
- Richmond, VA
- NPI 1750768131
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1215958657
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Richmond, VA
- NPI 1366689747
-
- Electrodiagnostic Medicine Physician
- Richmond, VA
- NPI 1033596416
-
- Ambulatory Surgical Clinic/Center
- Henrico, VA
- NPI 1124777321
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1194762294
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1275912172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHIBHOTLA",
"first_name": "SUDEEP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "263915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.