Shilpi Pradhan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101252063 Issued in VA

Practice address

3960 Stillman Pkwy
Suite 120
Glen Allen, VA 23060-4197

Phone

(804) 270-3333

Fax

(804) 270-9333

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

Washington University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eyedoctormdpc.shilpipradhan@131636.advancedmd-direct.com

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.

• Eye Doctor MD PC

  • Ophthalmology Physician
  • Glen Allen, VA
  • NPI 1982092235
  Medicare reassignment NPD Authorized official
• Rva Plastic Surgery, LLC

  • Plastic and Reconstructive Surgery Physician
  • Glen Allen, VA
  • NPI 1710504709
  NPD (past)
• Suzanne M. Everhart, D.O., P.C.

  • Ophthalmology Physician
  • Ashland, VA
  • NPI 1033445713
  NPD (past)

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

• Bon Secours Memorial Regional Medical Center LLC

  • General Acute Care Hospital
  • Mechanicsville, VA
  • NPI 1912969064
  Care Compare affiliation

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454803200000",
    "number": "1508074543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 STILLMAN PKWY",
            "address_2": "SUITE 120",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604197",
            "telephone_number": "804-270-3333",
            "fax_number": "804-270-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 STILLMAN PKWY",
            "address_2": "SUITE 120",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604197",
            "telephone_number": "804-270-3333",
            "fax_number": "804-270-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "SHILPI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101252063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VV8581E321",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015127842",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Behavior Consulting, LLC
• Lauren Powell, M.ED
• Theron Powell
• Kyle Alexander Powers, MD
• Klara Prachar, LCSW
• Katelyn Marie Preas, LCSW
• Wayne David Prebor II, LCSW
• Premise Health of Virginia Medical PC
• Prime Medical Transportation LLC
• Primelink Medical Care

• Ophthalmology Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.