Individual provider Active NPI

Roopam Sood-Khandpur, M.D.

  • Psychiatry Physician
  • Hampton, VA
National Provider Identifier
1467465138
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101237257 Issued in VA
Practice address
100 Emancipation Dr
Hampton, VA 23667-3160
Phone
(757) 803-5505
Fax
(443) 512-2834
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101237257 VA Primary
Addiction Psychiatry Physician 2084P0802X 0101237257 VA

Addresses

Primary practice location

100 Emancipation Dr
Hampton, VA 23667-3160

Mailing address

5309 Shoal Creek Rd
Suffolk, VA 23435-4228
Phone (757) 968-3130

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051007000078 VA Practitioner - PsychiatryPractitioner - Addiction Medicine 0840283594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone (757) 460-4655

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Motivations Medical Group Addiction Psychiatry CurrentSince Oct 7, 1996 Accepting new patients
Hampton Newport News Community Services Board PastSince Jan 8, 1996 Accepting new patients

Locations

4509 Whitechapel Dr
Virginia Beach, VA 23455
Phone (757) 460-4655

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1467465138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 SHOAL CREEK RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234354228",
            "telephone_number": "757-968-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236673160",
            "telephone_number": "757-803-5505",
            "fax_number": "443-512-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD-KHANDPUR",
        "first_name": "ROOPAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101237257",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "VA",
            "license": "0101237257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.