Active NPI
Pradip Koirala, MD
- Psychiatry Physician
- Low Moor, VA
National Provider Identifier
1457559957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101249462
- Practice address
- 1 Arh Lane
Low Moor, VA 24457 - Phone
- (540) 862-2021
- NPI assigned
- Jul 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101249462 | VA | Primary |
| Psychiatry Physician | 2084P0800X | D86278 | MD |
Addresses
Primary practice location
1 Arh Lane
Low Moor, VA 24457
Mailing address
P O Box 7
1 Arh Lane
Low Moor, VA 24457
Phone (540) 862-2021
Other practice location 1
11116 Medical Campus Rd Ste 2989
Hagerstown, MD 21742-6710
Phone (301) 766-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457559957 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101249462 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens & Childrens Center LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Low Moor, VA
- NPI 1831380260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1457559957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 7",
"address_2": "1 ARH LANE",
"city": "LOW MOOR",
"state": "VA",
"postal_code": "24457",
"telephone_number": "540-862-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ARH LANE",
"city": "LOW MOOR",
"state": "VA",
"postal_code": "24457",
"telephone_number": "540-862-2021"
}
],
"practiceLocations": [
{
"address_1": "11116 Medical Campus Rd Ste 2989",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426710",
"country_code": "US",
"telephone_number": "301-766-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOIRALA",
"first_name": "PRADIP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101249462",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D86278",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457559957",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Low Moor, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.