Pushkas Gopalan, MD
Individual provider Active NPI Internal Medicine Physician · Bristol, TN
NPI 1376700930 · NPPES record last updated Aug 13, 2025
Key facts
- NPI
- 1376700930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD45212 (TN)
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-1121
- NPI assigned
- May 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Steele Creek Physician Services PC
Chestnut Physician Services LLC
Blue Ridge Medical Management Corporation
Wellmont Medical Associates Inc
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
- Ballad Health Homecare - Norton
- Ballad Health Hospice
- Lonesome Pine Hospital
- Wellmont Bristol Regional Medical Center
- Wellmont Holston Valley Medical Center
- Dickenson Community Hospital
- Lee County Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091009000427 | TN | Practitioner - Internal Medicine | 3274679949 | Reassigns benefits to 5 organizations |
| I20140514001210 | VA | Practitioner - Internal Medicine | 3274679949 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD45212 | TN | MD | Internal Medicine Physician |
| 45212 | TN | MD | Hospitalist Physician |
| 0101255959 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Chestnut Physician Services LLC | Internal Medicine | Current |
Accepting new patients |
| App of Tennessee HM, PLLC | Hospitalist | Current |
Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Steele Creek Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Tricities Healthcare Solutions | Current |
Accepting new patients | |
| Vision Healthcare Solutions LLC | Internal Medicine | Current |
Accepting new patients |
| Blue Ridge Medical Management Corporation | Current |
Accepting new patients | |
| Vision Healthcare Solutions LLC | Current |
Accepting new patients | |
| Medical Education Assistance Corporation | Internal Medicine | Past |
Accepting new patients |
| Wellmont Health System | Past | 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
408 N State of Franklin Rd
Ste 24
Johnson City, TN 37604
Phone (423) 431-1810
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
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
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
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) 272-3677
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
Ste A
Norton, VA 24273
Phone (276) 439-1840
310 3rd St NE
Norton, VA 24273
Phone (276) 679-9116
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHBJDD/Endpoint/FHBJDD
- pushkas.gopalanmd.p1@direct.mep.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101255959 | VA | |
| Hospitalist Physician | 208M00000X | 45212 | TN | |
| Hospitalist Physician | 208M00000X | 0101255959 | VA | |
| Internal Medicine Physician | 207R00000X | MD45212 | TN | Yes |
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
100 15th St NW
Norton, VA 24273-1616
Phone (276) 439-1000
Other practice location 2
325 N State Of Franklin Rd Fl 2
Johnson City, TN 37604-6092
Phone (423) 439-7280
Other practice location 3
16000 Johnston Memorial Dr Fl 4
Abingdon, VA 24211-7664
Phone (276) 258-1880
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
Other providers in Bristol, TN
- Dominique Glover
- Brandace L Golden
- Marilyn J Goldstein
- Franklin Whitney Goldwire
- Sharon Kay Good
- Trevor Adrian Daniel Gorman
- Alan L. Gorrell
- Cathy M Gowan
- Erin N Gragg
- Nancy Spann Graham
All providers in Bristol, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.