NPIMap

Organization Active NPI

Chronic Care Partners LLC

Doing business as Chronic Care Partners

  • Family Medicine Physician
  • North Chesterfield, VA
National Provider Identifier
1457840241
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101239733 Issued in VA
Legal business name
CHRONIC CARE PARTNERS LLC
Doing business as
Chronic Care Partners
Practice address
112 S Providence Rd Ste 103
North Chesterfield, VA 23236-3300
Phone
(540) 520-3507
Fax
(800) 676-9961
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Fouad Farooqi
Title
Member
Phone
(540) 520-3507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 101239733 VA Primary

Addresses

Primary practice location

112 S Providence Rd Ste 103
North Chesterfield, VA 23236-3300

Mailing address

112 S Providence Rd Ste 103
North Chesterfield, VA 23236-3300
Phone (540) 520-3507

Other practice location 1

6411 Horsepen Rd
Richmond, VA 23226-2905
Phone (540) 520-3507

Other names 1

  • Chronic Care Partners Doing business as

National Provider Directory

National Provider Directory

Locations

112 S Providence Rd
Ste 103
North Chesterfield, VA 23236
Phone (540) 520-3507

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": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1457840241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S PROVIDENCE RD STE 103",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363300",
            "telephone_number": "540-520-3507",
            "fax_number": "800-676-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S PROVIDENCE RD STE 103",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363300",
            "telephone_number": "540-520-3507",
            "fax_number": "800-676-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6411 Horsepen Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262905",
            "country_code": "US",
            "telephone_number": "540-520-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRONIC CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "FAROOQI",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "540-520-3507"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "101239733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chronic Care Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chronic Care Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.