Individual provider Active NPI

Cuddalore P Vasudevan, M. D.

  • Pulmonary Disease Physician
  • Princeton, WV
National Provider Identifier
1619082690
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
13193 Issued in WV
Practice address
508 New Hope Rd Ste 7
Princeton, WV 24740
Phone
(304) 425-0403
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 13193 WV Primary

Addresses

Primary practice location

508 New Hope Rd Ste 7
Princeton, WV 24740

Mailing address

118 12TH Street Ext
Princeton, WV 24740-2352
Phone (304) 431-5168

Other practice location 1

608 New Hope Rd Ste 2
Quailvalley Medical center
Princeton, WV 24740-2287
Phone (304) 425-0403

Other identifiers 1

IdentifierTypeStateIssuer
0084303000MedicaidWV

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20031210000843 WV Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8426954355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. Current Accepting new patients
United Hospital Center, Inc. Pulmonary Disease CurrentSince Feb 11, 2022 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jan 1, 2013 Accepting new patients
Princeton Community Hospital Assn., Inc. CurrentSince Jan 1, 2013 Accepting new patients
Bluefield Regional Medical Center Inc Pulmonary Disease Past Accepting new patients
St. Luke'S Princeton LLC Past Accepting new patients

Locations

2111 College Ave
Bluefield, VA 24605
Phone (276) 322-4661

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

118 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9568

608 New Hope Rd
Ste 2
Princeton, WV 24740
Phone (304) 425-0403

508 New Hope Rd
Ste 7
Princeton, WV 24740
Phone (304) 425-0403

Interoperability endpoints

  • Direct secure messaging: cvasudev@yourcarecommunity.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1619082690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402352",
            "telephone_number": "304-431-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 NEW HOPE RD STE 7",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-425-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 New Hope Rd Ste 2",
            "address_2": "Quailvalley Medical center",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402287",
            "country_code": "US",
            "telephone_number": "304-425-0403",
            "fax_number": "304-425-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASUDEVAN",
        "first_name": "CUDDALORE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "13193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084303000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.