Individual provider Active NPI

Pushkas Gopalan, MD

  • Internal Medicine Physician
  • Bristol, TN
National Provider Identifier
1376700930
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD45212 Issued in TN
Practice address
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone
(423) 844-1121
NPI assigned
May 21, 2008
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101255959 VA
Hospitalist Physician 208M00000X 45212 TN
Hospitalist Physician 208M00000X 0101255959 VA
Internal Medicine Physician 207R00000X MD45212 TN Primary

Addresses

Primary practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

325 N State Of Franklin Rd Fl 2
Johnson City, TN 37604-6092
Phone (423) 439-7280

Other practice location 2

16000 Johnston Memorial Dr Fl 4
Abingdon, VA 24211-7664
Phone (276) 258-1880

Other practice location 3

100 15th St NW
Norton, VA 24273-1616
Phone (276) 439-1000

Other practice location 4

58 Carroll St
Rm 2037
Lebanon, VA 24266
Phone (276) 883-8070

Other practice location 5

2000 Brookside Dr Fl 4
Kingsport, TN 37660-4627
Phone (423) 857-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091009000427 TN Practitioner - Internal Medicine 3274679949 Reassigns benefits to 5 organizations
I20140514001210 VA Practitioner - Internal Medicine 3274679949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steele Creek Physician Services PCGroup PAC ID 1052818960, 35 clinicians
Chestnut Physician Services LLCGroup PAC ID 8022508266, 12 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

100 15TH St NW
Norton, VA 24273-1616
Phone (276) 679-9600

310 3Rd St NE
Norton, VA 24273-1137
Phone (276) 679-9171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD45212TNMDInternal Medicine Physician
0101255959VAMDInternal Medicine Physician
45212TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Physician Services LLC Internal Medicine CurrentSince Nov 3, 2025 Accepting new patients
Vision Healthcare Solutions LLC CurrentSince Aug 15, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 17, 2020 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Mar 27, 2014 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Jun 17, 2021 Accepting new patients
Vision Healthcare Solutions LLC Internal Medicine CurrentSince Aug 15, 2025 Accepting new patients
Tricities Healthcare Solutions CurrentSince Aug 1, 2025 Accepting new patients
Steele Creek Physician Services PC Internal Medicine CurrentSince Nov 3, 2025 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine Current Accepting new patients
Wellmont Health System Past Accepting new patients
Medical Education Assistance Corporation Internal Medicine PastSince Aug 1, 2015 Accepting new patients
Inpatient Consultants of Tennessee, P.C. Internal Medicine Past Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

560 E Main Blvd
Church Hill, TN 37642
Phone (423) 256-2196

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

408 N State of Franklin Rd
Ste 24
Johnson City, TN 37604
Phone (423) 431-1810

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2000 Brookside Dr
Fl 4
Kingsport, TN 37660
Phone (423) 857-5905

2000 Brookside Dr
Fl Third
Kingsport, TN 37660
Phone (423) 857-5905

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

309 E Main St
Rogersville, TN 37857
Phone (423) 500-0879

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

126 Lavender St
Spring City, TN 37381
Phone (423) 365-0450

16000 Johnston Memorial Dr
Fl 4
Abingdon, VA 24211
Phone (276) 258-1000

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

100 15th St NW
Ste A
Norton, VA 24273
Phone (276) 439-1840

310 3rd St NE
Norton, VA 24273
Phone (276) 679-9116

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHBJDD/Endpoint/FHBJDD
  • Direct secure messaging: pushkas.gopalanmd.p1@direct.mep.nextgenshare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1376700930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N State Of Franklin Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046092",
            "country_code": "US",
            "telephone_number": "423-439-7280",
            "fax_number": "423-439-8110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "276-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll St",
            "address_2": "Rm 2037",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-883-8070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPALAN",
        "first_name": "PUSHKAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255959",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "45212",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101255959",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD45212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.