Individual provider Active NPI

Sailaja Naga Kavuru, M.D.

  • Psychiatry Physician
  • Catawba, VA
National Provider Identifier
1669633715
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101250586 Issued in VA
Practice address
5525 Catawba Hospital Dr
Catawba, VA 24070-2115
Phone
(540) 375-4368
Fax
(540) 375-4359
NPI assigned
Jun 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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 0101250586 VA Primary

Addresses

Primary practice location

5525 Catawba Hospital Dr
Catawba, VA 24070-2115

Mailing address

5525 Catawba Hospital Dr
Catawba, VA 24070-2115
Phone (540) 375-4368

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150512001320 VA Order and Referring Only - PsychiatryPractitioner - Psychiatry 4587983630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250586VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Virginia Catawba Hospital Past 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": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1669633715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 CATAWBA HOSPITAL DR",
            "city": "CATAWBA",
            "state": "VA",
            "postal_code": "240702115",
            "telephone_number": "540-375-4368",
            "fax_number": "540-375-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 CATAWBA HOSPITAL DR",
            "city": "CATAWBA",
            "state": "VA",
            "postal_code": "240702115",
            "telephone_number": "540-375-4368",
            "fax_number": "540-375-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVURU",
        "first_name": "SAILAJA",
        "middle_name": "NAGA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-21",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101250586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catawba, VA

Sources for this page

Verify at the official NPI Registry.