NPIMap

Individual provider Active NPI

Shobha Rani Nalluri, MD

  • Hematology & Oncology Physician
  • Prince George, VA
National Provider Identifier
1578759387
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101250289 Issued in VA
Practice address
4730 Puddledock Rd
Suite 100
Prince George, VA 23875-1237
Phone
(804) 452-3850
Fax
(804) 541-7585
NPI assigned
Sep 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101250289 VA Primary

Addresses

Primary practice location

4730 Puddledock Rd
Suite 100
Prince George, VA 23875-1237

Mailing address

7202 Glen Forest Dr
C/O Virginia Cancer Institute Suite 200
Richmond, VA 23226-3781
Phone (804) 673-0134

Other practice location 1

210 Medical Park Blvd Ste 200
Petersburg, VA 23805-0002
Phone (804) 431-1100

Other practice location 2

8007 Discovery Dr Ste A
Richmond, VA 23229-8605
Phone (804) 287-3000

Other practice location 3

263 Medical Park Blvd
Petersburg, VA 23805-0002
Phone (804) 431-1100

Other identifiers 1

IdentifierTypeStateIssuer
C01120OtherVAMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000001 VA Practitioner - Hematology/Oncology 9436329570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4730 Puddledock Rd
Suite 100
Prince George, VA 23875-1274
Phone (804) 452-3850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as individual
Quality
70.53
Promoting interoperability
83
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Institute Incorporated Hematology & Oncology CurrentSince Jan 1, 2014 Accepting new patients
Virginia Cancer Institute Incorporated Hematology & Oncology CurrentSince Jan 1, 2014 Accepting new patients
Virginia Oncology & Hematology PC Hematology & Oncology Past Accepting new patients

Locations

411 W Randolph Rd
#101
Hopewell, VA 23860
Phone (804) 452-3850

7492 Right Flank Rd
Mechanicsville, VA 23116
Phone (804) 559-0736

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

210 Medical Park Blvd
Ste 200
Petersburg, VA 23805
Phone (804) 431-1100

263 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 431-1100

4730 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 452-3850

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

8007 Discovery Dr
Ste A
Richmond, VA 23229
Phone (804) 287-3000

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1578759387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR",
            "address_2": "C/O VIRGINIA CANCER INSTITUTE SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263781",
            "telephone_number": "804-673-0134",
            "fax_number": "804-673-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 PUDDLEDOCK RD",
            "address_2": "SUITE 100",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751237",
            "telephone_number": "804-452-3850",
            "fax_number": "804-541-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Medical Park Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238050002",
            "country_code": "US",
            "telephone_number": "804-431-1100",
            "fax_number": "804-862-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8007 Discovery Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232298605",
            "country_code": "US",
            "telephone_number": "804-287-3000",
            "fax_number": "804-673-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238050002",
            "country_code": "US",
            "telephone_number": "804-431-1100",
            "fax_number": "804-862-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NALLURI",
        "first_name": "SHOBHA",
        "middle_name": "RANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101250289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C01120",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

Verify at the official NPI Registry.