Jai Jong Cho, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101034437 Issued in VA

Practice address

3046 Berkmar Dr
Suite B
Charlottesville, VA 22901-1444

Phone

(434) 973-3356

Fax

(434) 973-2363

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1316979784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 BERKMAR DR",
            "address_2": "SUITE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011444",
            "telephone_number": "434-973-3356",
            "fax_number": "434-973-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 BERKMAR DR",
            "address_2": "SUITE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011444",
            "telephone_number": "434-973-3356",
            "fax_number": "434-973-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JAI",
        "middle_name": "JONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101034437",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101034437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "080000239",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5628547",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC-BS-MEDICARE EXTENDED SUPPLEMENT",
            "identifier": "361921",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chinamed USA
• Scott D Chirichetti, DO
• Christian A. Chisholm, MD
• Edmund Madison Chitwood, MD
• Nino Chkhaidze, LCP
• Woojin Cho, MD
• Jennifer M Choffel, AG-ACNP
• John Y Choi, MD
• Kayla Helen Choo Chong, M.B.B.CH, B.A.O
• Mikael Chorey, AG-ACNP

• Family Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.