Organization Active NPI

Center for Internal Medicine Hyper Kidney Disease & Critical Care Inc

  • Primary Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1538348388
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0101030754 Issued in VA
Legal business name
CENTER FOR INTERNAL MEDICINE HYPER KIDNEY DISEASE & CRITICAL CARE INC
Practice address
110 N Robinson St Ste 305
Richmond, VA 23220-4461
Phone
(804) 780-2610
NPI assigned
Oct 29, 2007
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Dr. Shridhar Venkatraman Bhat, M.D.NPI 1134158991
Title
President
Phone
(804) 780-2610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0101030754 VA Primary

Addresses

Primary practice location

110 N Robinson St Ste 305
Richmond, VA 23220-4461

Mailing address

110 N Robinson St Ste 305
Richmond, VA 23220-4461
Phone (804) 780-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000868 VA Part B Supplier - Clinic/Group Practice 9335264001 Receives reassigned benefits from 6 practitioners
Practice locations: Richmond, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2069075Center for Internal Medicine,110 N Robinson St, Suite 305, Richmond, VA 23220Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1538348388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N ROBINSON ST STE 305",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204461",
            "telephone_number": "804-780-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ROBINSON ST STE 305",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204461",
            "telephone_number": "804-780-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERNAL MEDICINE HYPER KIDNEY DISEASE & CRITICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "SHRIDHAR",
        "authorized_official_middle_name": "VENKATRAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-780-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0101030754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.