Active NPI
Gunadhar Panigrahi, MD
- Cardiovascular Disease Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101035440
- Practice address
- 1925 Glenn Mitchell Dr
Suite 202
Virginia Beach, VA 23456-0170 - Phone
- (757) 507-0702
- Fax
- (757) 962-1254
- NPI assigned
- Jun 24, 2006
- Last updated
- Aug 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101035440 | VA | Primary |
Addresses
Primary practice location
1925 Glenn Mitchell Dr
Suite 202
Virginia Beach, VA 23456-0170
Mailing address
205 Business Park Dr
Suite 200
Virginia Beach, VA 23462-6335
Phone (757) 962-1083
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035440 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Cardiology Consultants, LTD | Cardiovascular Disease | Past | Accepting new patients |
Locations
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1925 Glenn Mitchell Dr
Ste 202
Virginia Beach, VA 23456
Phone (757) 507-0700
2075 Glenn Mitchell Dr
Ste 400
Virginia Beach, VA 23456
Phone (757) 252-9365
Interoperability endpoints
- gpanigrahi13234@direct.sentara.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Virginia Beach, VA
- NPI 1821024597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1467488106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BUSINESS PARK DR",
"address_2": "SUITE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626335",
"telephone_number": "757-962-1083",
"fax_number": "757-962-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 GLENN MITCHELL DR",
"address_2": "SUITE 202",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560170",
"telephone_number": "757-507-0702",
"fax_number": "757-962-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANIGRAHI",
"first_name": "GUNADHAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101035440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.