Vivak Mahendra Master, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

0101259987 Issued in VA

Practice address

4700 Puddledock Rd Ste 400
Prince George, VA 23875-1268

Phone

(804) 458-1740

Fax

(804) 541-1846

NPI assigned

Apr 3, 2012

Last updated

Jul 30, 2020By 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 2

Addresses

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

Specialty

Cardiac Electrophysiology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Cardiovascular SpecialistsGroup PAC ID 8921092826, 55 clinicians

Chippenham and Johnston-Willis Hospitals, Inc.Group PAC ID 9032105010, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CJW Medical Center Hospital, Richmond, VA, CCN 490112
• Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020

Merit-based Incentive Payment System (MIPS)

Final score

84.6 of 100Reported as group

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Cost

76.57

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: vivak.master.p2@direct.vacardio.nextgenshare.com
• Direct secure messaging: vivak.mastermd.p1@direct.vacardio.nextgenshare.com

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.

• Chippenham & Johnston-Willis Hospitals, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Richmond, VA
  • NPI 1366689747
  Medicare reassignment Care Compare group NPD
• Virginia Cardiovascular Specialists

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1215958657
  Medicare reassignment Care Compare group NPD
• Vibra Physicians LLC

  • Hospitalist Physician
  • Johnstown, CO
  • NPI 1659705424

  VA

  Medicare reassignment NPD
• Chippenham & Johnston-Willis Hospitals, Inc.

  dba CJW Medical Center

  • Electrodiagnostic Medicine Physician
  • Richmond, VA
  • NPI 1033596416
  NPD
• Virginia Cardiovascular Specialists

  dba VCS Heart and Vascular Center

  • Ambulatory Surgical Clinic/Center
  • Henrico, VA
  • NPI 1124777321
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chippenham & Johnston-Willis Hospitals Inc

  dba CJW Medical Center

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  dba TriCities Hospital

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248
  Care Compare affiliation
• HCA Health Services of Virginia Inc

  dba Henrico Doctors' Hospital

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1194762294
  Care Compare affiliation

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1386900397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR RM 130",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295100",
            "telephone_number": "804-521-5800",
            "fax_number": "804-545-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD STE 400",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751268",
            "telephone_number": "804-458-1740",
            "fax_number": "804-541-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTER",
        "first_name": "VIVAK",
        "middle_name": "MAHENDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101259987",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101259987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Mackey, M.S., CAGS
• Lisa Bethany Magazine, PHD
• Isra Malik
• Matthew Walter Marchal, M.D.
• Michael William Mariscalco, M.D.
• Raven Maxwell, ED.S
• Theresa McCormack, PNP
• Mark B McKinley, DPT
• Chanetta Meredith, HAIR LOSS CERTIFIED
• Minutemen Radiology Inc (Doctors of Diagnosis)

• Clinical Cardiac Electrophysiology Physician in Prince George, VA
• Providers in Prince George, VA by specialty
• Clinical Cardiac Electrophysiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.