NPIMap

Individual provider Active NPI

Suraj Jay Kabadi, MD

  • Neuroradiology Physician
  • Richmond, VA
National Provider Identifier
1619235595
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
0101255983 Issued in VA
Practice address
2810 N Parham Rd Ste 315
Richmond, VA 23294-4424
Phone
(804) 288-8327
Fax
(804) 282-3744
NPI assigned
Apr 27, 2012
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 0101255983 VA Primary
Diagnostic Radiology Physician 2085R0202X 0101255983 VA
Vascular & Interventional Radiology Physician 2085R0204X 0101255983 VA

Addresses

Primary practice location

2810 N Parham Rd Ste 315
Richmond, VA 23294-4424

Mailing address

2810 N Parham Rd Ste 315
Richmond, VA 23294-4424
Phone (804) 288-8327

Other identifiers 1

IdentifierTypeStateIssuer
1619235595MedicaidVA

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
I20180626001447 VA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6507003613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Radiology PCGroup PAC ID 9830142496, 52 clinicians

Practice addresses (Care Compare)

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 288-8327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.43 of 100Reported as group
Quality
96.22
Improvement activities
40
Cost
71.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255983VAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Radiology P C Neuroradiology CurrentSince May 2, 2018 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC Past Accepting new patients
Southside Physician Network LLC Internal Medicine PastSince Dec 10, 2018 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Past Accepting new patients

Locations

306 Ashcake Rd
Ste C
Ashland, VA 23005
Phone (804) 798-2908

281 E Hundred Rd
Chester, VA 23836
Phone (804) 452-1635

436 Clairmont Ct
Ste 101
Colonial Heights, VA 23834
Phone (804) 504-4631

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

12320 W Broad St
Richmond, VA 23233
Phone (513) 752-8000

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230
Phone (804) 288-8102

2810 N Parham Rd
Ste 315
Richmond, VA 23294

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

8006 Discovery Dr
Ste 301
Richmond, VA 23229
Phone (804) 272-7064

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/679/brand/1/csg/319/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1619235595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944424",
            "telephone_number": "804-288-8327",
            "fax_number": "804-282-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944424",
            "telephone_number": "804-288-8327",
            "fax_number": "804-282-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABADI",
        "first_name": "SURAJ",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101255983",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101255983",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101255983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619235595",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.