Individual provider Active NPI

Vasavi Kaliki, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Glen Allen, VA
National Provider Identifier
1649582412
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
254973 Issued in NY
Practice address
4505 Yorkminster Dr
Glen Allen, VA 23060-6157
Phone
(804) 762-9771
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD438513 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 254973 NY Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101250492 VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 50465 CT

Addresses

Primary practice location

4505 Yorkminster Dr
Glen Allen, VA 23060-6157

Mailing address

4505 Yorkminster Dr
Glen Allen, VA 23060-6157
Phone (804) 762-9771

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50465CTMDAnatomic Pathology & Clinical Pathology Physician
MD438513PAMDAnatomic Pathology & Clinical Pathology Physician
0101250492VAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1649582412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 YORKMINSTER DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606157",
            "telephone_number": "804-762-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 YORKMINSTER DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606157",
            "telephone_number": "804-762-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIKI",
        "first_name": "VASAVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD438513",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "254973",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101250492",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CT",
            "license": "50465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.