NPIMap

Individual provider Active NPI

Chetan Balakrishna Pai, D.O

  • Gastroenterology Physician
  • Fredericksburg, VA
National Provider Identifier
1649488230
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0102202540 Issued in VA
Practice address
1031 Care Way
Fredericksburg, VA 22401-8425
Phone
(540) 371-7600
NPI assigned
May 18, 2007
Last updated
Mar 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0102202540 VA Primary

Addresses

Primary practice location

1031 Care Way
Fredericksburg, VA 22401-8425

Mailing address

8411 Broadmore LN
Spotsylvania, VA 22553-3645
Phone (540) 371-7600

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
I20100709000470 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 0840386728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians

Practice addresses (Care Compare)

125 Hospital Ctr Blvd
Suite 309
Stafford, VA 22554-6204
Phone (540) 371-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102202540VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 1, 2020 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 1, 2020 Accepting new patients
Mary Washington Healthcare Providers LLC Gastroenterology CurrentSince Mar 10, 2025 Accepting new patients
Gastroenterology Associates of Fredericksburg, P.C. Gastroenterology CurrentSince Jun 1, 2010 Accepting new patients
Stafford Hospital, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1031 Care Way
Fredericksburg, VA 22401
Phone (540) 371-7600

125 Hospital Center Blvd
Ste 309
Stafford, VA 22554
Phone (540) 371-7600

Interoperability endpoints

  • Direct secure messaging: chetanpai@gafpc.allscriptsdirect.net
  • Direct secure messaging: cpai12092@marywashingtonhealthcare.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mary Washington HealthcareFredericksburg, VA, CCN 490022 Hospital Corporate Director Jan 1, 2023
Stafford Hospital CenterStafford, VA, CCN 490140 Hospital Corporate Director Jan 1, 2023
Mary Washington Home Health AgencyFredericksburg, VA, CCN 497272 Home health agency Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1649488230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 BROADMORE LN",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225533645",
            "telephone_number": "540-371-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-371-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAI",
        "first_name": "CHETAN",
        "middle_name": "BALAKRISHNA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0102202540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.