Individual provider Active NPI

Ranjit Goudar, M.D.

  • Hematology & Oncology Physician
  • Norfolk, VA
National Provider Identifier
1467584383
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101246882 Issued in VA
Practice address
5900 Lake Wright Dr
Norfolk, VA 23502-1871
Phone
(757) 466-8683
Fax
(767) 466-7854
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101246882 VA Primary
Hematology & Oncology Physician 207RH0003X 2008-01301 NC

Addresses

Primary practice location

5900 Lake Wright Dr
Norfolk, VA 23502-1871

Mailing address

5900 Lake Wright Dr
Suite 300
Norfolk, VA 23502-1871
Phone (757) 466-8683

Other identifiers 3

IdentifierTypeStateIssuer
5914178MedicaidNC
1467584383MedicaidVA
1467584383OtherVAOPTIMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100831000946 VA Practitioner - Hematology/Oncology 5193849909
I20120419000012 NC Practitioner - Hematology/Oncology 5193849909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Duke University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Oncology AssociatesGroup PAC ID 2769395797, 100 clinicians

Practice addresses (Care Compare)

6251 E Virginia Beach Blvd
Suite 200
Norfolk, VA 23502-2800
Phone (757) 466-8683

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Oncology Associates Hematology & Oncology CurrentSince Aug 2, 2010 Accepting new patients
Virginia Oncology Associates CurrentSince Aug 2, 2010 Accepting new patients

Locations

905 Thunder Rd
Ste 250
Elizabeth City, NC 27909
Phone (252) 331-2044

1503 N Road St
#B
Elizabeth Cty, NC 27909
Phone (252) 331-2044

744 Battlefield Blvd N
#200
Chesapeake, VA 23320
Phone (757) 549-4403

3000 Coliseum Dr
Ste 104
Hampton, VA 23666
Phone (757) 827-9400

1051 Loftis Blvd
Ste 100
Newport News, VA 23606
Phone (757) 873-9400

5900 Lake Wright Dr
Norfolk, VA 23502
Phone (757) 466-8683

6251 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 466-8683

5900 Lake Wright Dr
Ste 300
Norfolk, VA 23502
Phone (757) 466-8683

3910 Bridge Rd
Ste 400
Suffolk, VA 23435
Phone (757) 484-0215

2790 Godwin Blvd
Ste 101
Suffolk, VA 23434
Phone (757) 539-0670

1950 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 368-0437

500 Sentara Cir
Ste 203
Williamsburg, VA 23188
Phone (757) 229-2236

Interoperability endpoints

  • Direct secure messaging: ranjit.goudar@voa.ikm.direct-ci.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1467584383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-466-8683",
            "fax_number": "767-466-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-466-8683",
            "fax_number": "767-466-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDAR",
        "first_name": "RANJIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101246882",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2008-01301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914178",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467584383",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "1467584383",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.