Active NPI
Ramesh B Kadakkal, MD
- Specialist
- Virginia Beach, VA
National Provider Identifier
1306847629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101027406
- Practice address
- 1020 Independence Blvd
Suite 304
Virginia Beach, VA 23455-5500 - Phone
- (757) 363-1700
- Fax
- (757) 363-0562
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101027406 | VA | Primary |
Addresses
Primary practice location
1020 Independence Blvd
Suite 304
Virginia Beach, VA 23455-5500
Mailing address
1020 Independence Blvd
Suite 304
Virginia Beach, VA 23455-5500
Phone (757) 363-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7582188 | Medicaid | VA | |
| 1306847629 | Other | VA | NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ghent Internal Medicine PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1346551736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1306847629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 INDEPENDENCE BLVD",
"address_2": "SUITE 304",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555500",
"telephone_number": "757-363-1700",
"fax_number": "757-363-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 INDEPENDENCE BLVD",
"address_2": "SUITE 304",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555500",
"telephone_number": "757-363-1700",
"fax_number": "757-363-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADAKKAL",
"first_name": "RAMESH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101027406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7582188",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1306847629",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
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- Georges Kaado, M.D.
- Kantria Sierra Kaaroud, LMT,MMP
- Sreeja Kadakkal, M.D.
- Deborah L Kade, LCSW
- Michael L Kahan, DDS
- Sage Taylor Kahle
- Kaizen Dry Needling & Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.