NPIMap

Individual provider Active NPI

Anup J Gokli, M.D.

  • Family Medicine Physician
  • Quinton, VA
National Provider Identifier
1407853542
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101042218 Issued in VA
Practice address
1850 Pocahontas Trail
Quinton, VA 23141-1735
Phone
(804) 932-4388
Fax
(804) 932-9860
NPI assigned
Jul 5, 2005
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101042218 VA Primary

Addresses

Primary practice location

1850 Pocahontas Trail
Quinton, VA 23141-1735

Mailing address

4630 S Laburnum Ave
Ste B
Richmond, VA 23231-2441
Phone (804) 932-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000764 VA Practitioner - Family Practice 3072594357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1850 Pocahontas TRL
Quinton, VA 23141-1657
Phone (804) 932-4388

2660 New Market Medical Ctr
Richmond, VA 23231-7408
Phone (804) 795-1144

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9010 Pocahontas TRL
Providence Forge, VA 23140-3400
Phone (804) 932-4388

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101042218VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Oct 21, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 21, 2022 Accepting new patients
Chickahominy Family Family Medicine Past Accepting new patients
Pulmonologists, PC Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

9010 Pocahontas Trl
Providence Forge, VA 23140
Phone (804) 932-1020

1850 Pocahontas Trl
Quinton, VA 23141
Phone (804) 932-4388

2660 New Market Rd
Richmond, VA 23231
Phone (804) 795-1144

Interoperability endpoints

  • Direct secure messaging: anup.gokli.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1407853542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 S LABURNUM AVE",
            "address_2": "STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312441",
            "telephone_number": "804-932-4388",
            "fax_number": "804-932-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 POCAHONTAS TRAIL",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411735",
            "telephone_number": "804-932-4388",
            "fax_number": "804-932-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKLI",
        "first_name": "ANUP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101042218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quinton, VA

Sources for this page

Verify at the official NPI Registry.