Individual provider Active NPI

Sudeep Kuchibhotla

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1275912172
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263915 Issued in MA
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

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613002515 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2668761263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Florida State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HCA Health Services of Virginia, Inc.Group PAC ID 9133195241, 9 clinicians
Virginia Cardiovascular SpecialistsGroup PAC ID 8921092826, 55 clinicians

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 Hospital, Richmond, VA, CCN 490118
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Merit-based Incentive Payment System (MIPS)

Final score
84.6 of 100Reported as group
Quality
72.1
Promoting interoperability
100
Improvement activities
40
Cost
76.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cardiovascular Specialists CurrentSince Jul 31, 2023 Accepting new patients
Virginia Cardiovascular Specialists CurrentSince Jul 31, 2023 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. CurrentSince Dec 27, 2023 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. Current Accepting new patients
HCA Health Services of Virginia, Inc. CurrentSince Dec 25, 2023 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sudeep.kuchibhotla.p1@direct.vacardio.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.