Organization Active NPI

Anahata Heart & Vascular PC

  • Vascular & Interventional Radiology Physician
  • South Boston, VA
National Provider Identifier
1437804606
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
ANAHATA HEART & VASCULAR PC
Practice address
1129 N Main St Ste a
South Boston, VA 24592-2549
Phone
(434) 272-8887
Fax
(323) 433-9177
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Dr. Janardhan Srinivasan, MDNPI 1598099376
Title
President
Phone
(434) 272-8887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

1129 N Main St Ste a
South Boston, VA 24592-2549

Mailing address

4711 Hope Valley Rd Unit 4F-310
Durham, NC 27707-5651
Phone (434) 272-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220406000540 VA Part B Supplier - Clinic/Group Practice 5597151290 Receives reassigned benefits from 1 practitioner
Practice locations: South Boston, VA

National Provider Directory

National Provider Directory

Locations

4711 Hope Valley Rd
Unit 4F310
Durham, NC 27707

1129 N Main St
South Boston, VA 24592
Phone (434) 572-8272

1129 N Main St
Ste A
South Boston, VA 24592
Phone (434) 272-8887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1437804606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 HOPE VALLEY RD UNIT 4F-310",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075651",
            "telephone_number": "434-272-8887",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N MAIN ST STE A",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922549",
            "telephone_number": "434-272-8887",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHATA HEART & VASCULAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "JANARDHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-272-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.