Active NPI
Jagdeep Kaur Kahlon, M.D.
- Psychiatry Physician
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101253978
- Practice address
- 13901 Coalfield Commons PL
Suite 102
Midlothian, VA 23114-1216 - Phone
- (804) 378-0800
- Fax
- (804) 378-0900
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101253978 | VA | Primary |
Addresses
Primary practice location
13901 Coalfield Commons PL
Suite 102
Midlothian, VA 23114-1216
Mailing address
12325 Countryview Dr
Glen Allen, VA 23059-5337
Phone (304) 388-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669633319 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13901 Coalfield Commons PL
Suite 102
Midlothian, VA 23114-1219
Phone (804) 378-0800
269 Medical Park Blvd
Petersburg, VA 23805-9337
Phone (804) 861-0700
Hospital & facility affiliations
- CJW Medical Center
- Medical College of Virginia Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101253978 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia South Psychiatric & Family Services | Psychiatry | Current | Accepting new patients |
| Three Rivers Treatment Center LLC | Past | Accepting new patients | |
| THS Physician Partners Inc | Psychiatry | Past | Accepting new patients |
Locations
207 N 4th Ave
Hopewell, VA 23860
Phone (804) 518-6513
13901 Coalfield Commons Pl
Ste 102
Midlothian, VA 23114
Phone (804) 378-0800
269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Petersburg, VA
- NPI 1700894466
-
- Psychiatric Residential Treatment Facility
- Kenbridge, VA
- NPI 1568827780
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
Psychiatry
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1669633319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12325 COUNTRYVIEW DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595337",
"telephone_number": "304-388-1000",
"fax_number": "304-388-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13901 COALFIELD COMMONS PL",
"address_2": "SUITE 102",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231141216",
"telephone_number": "804-378-0800",
"fax_number": "804-378-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHLON",
"first_name": "JAGDEEP",
"middle_name": "KAUR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101253978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669633319",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.