Individual provider Active NPI

Suresh Purushottam Gharse, M.D.

  • Psychiatry Physician
  • Richmond, VA
National Provider Identifier
1629157383
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101028326 Issued in VA
Practice address
3900 Monument Ave
Suite 'a'
Richmond, VA 23230-3955
Phone
(804) 355-9975
Fax
(804) 355-9953
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101028326 VA Primary

Addresses

Primary practice location

3900 Monument Ave
Suite 'a'
Richmond, VA 23230-3955

Mailing address

3900 Monument Ave
Suite 'a'
Richmond, VA 23230-3955
Phone (804) 355-9975

Other identifiers 1

IdentifierTypeStateIssuer
235022OtherVAANTHEM PPO #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101028326VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suresh Gharse, MD Psychiatry PastSince Jul 1, 1999 Accepting new patients

Organizations & group practices 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629157383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 MONUMENT AVE",
            "address_2": "SUITE 'A'",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303955",
            "telephone_number": "804-355-9975",
            "fax_number": "804-355-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 MONUMENT AVE",
            "address_2": "SUITE 'A'",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303955",
            "telephone_number": "804-355-9975",
            "fax_number": "804-355-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARSE",
        "first_name": "SURESH",
        "middle_name": "PURUSHOTTAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101028326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PPO #",
            "identifier": "235022",
            "state": "VA"
        }
    ],
    "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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.