Prem Shankar Verma, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21204 Issued in KY

Practice address

11176 Main St
Martin, KY 41649-7999

Phone

(606) 285-9426

Fax

(606) 285-6619

NPI assigned

Apr 10, 2006

Last updated

Oct 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: premverma@arh.medalliesdirect.net
• Direct secure messaging: premverma@kysjhspe.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  NPD (past)
• Our Lady of the Way

  • Emergency Medicine Physician
  • Martin, KY
  • NPI 1588717185
  NPD (past)
• Saint Joseph Health System, Inc.

  • Hematology & Oncology Physician
  • Lexington, KY
  • NPI 1659624435
  NPD (past)
• Saint Joseph Health System, Inc.

  • Hematology & Oncology Physician
  • London, KY
  • NPI 1740550615
  NPD (past)
• Team Radiology Physicians, PA

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1932133675
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1376506535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416490910",
            "telephone_number": "606-285-9426",
            "fax_number": "606-285-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11176 MAIN ST",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416497999",
            "telephone_number": "606-285-9426",
            "fax_number": "606-285-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "PREM",
        "middle_name": "SHANKAR",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "21204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64212046",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Vision Optical PLLC
• TPC Martin Inc (Total Pharmacy Care #4)
• TPC Martin Inc (Total Pharmacy Care #4)
• TPC Martin Inc (Total Pharmacy Care #4)
• Chandra Varia, M.D.
• Walgreen Co (Rite Aid #17404)
• Garret A. Weaver, D.C.
• Michael N. Williams, P.A.
• Emily Davada Willis

• Family Medicine Physician in Martin, KY
• Providers in Martin, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.