Individual provider Active NPI

Jai Jong Cho, MD

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1316979784
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101034437 VA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 0101034437 VA

Addresses

Primary practice location

3046 Berkmar Dr
Suite B
Charlottesville, VA 22901-1444

Mailing address

3046 Berkmar Dr
Suite B
Charlottesville, VA 22901-1444
Phone (434) 973-3356

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
I20081003000400 VA Practitioner - Family PracticePractitioner - Geriatric Medicine 8325116312 Practice locations: Charlottesville, VA

National Provider Directory

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

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.