NPIMap

Individual provider Active NPI

Mansukhlal R Ramolia, MD

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1679502413
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101030989 Issued in VA
Practice address
4053 Taylor Rd
Suite K
Chesapeake, VA 23321-5537
Phone
(757) 483-6401
Fax
(757) 686-3025
NPI assigned
Jul 2, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101030989 VA Primary

Addresses

Primary practice location

4053 Taylor Rd
Suite K
Chesapeake, VA 23321-5537

Mailing address

4053 Taylor Rd
Suite K
Chesapeake, VA 23321-5537
Phone (757) 638-0085

Other identifiers 1

IdentifierTypeStateIssuer
073324OtherVAANTHEM

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
I20100215000793 VA Practitioner - Family Practice 6002868254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Care PCGroup PAC ID 1557351939, 8 clinicians

Practice addresses (Care Compare)

4053 Taylor Rd
Suite K
Chesapeake, VA 23321-5526
Phone (757) 483-6401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101030989VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Care PC Family Medicine CurrentSince Jan 14, 1995 Accepting new patients
Churchland Family Medicine PC Family Medicine Current Accepting new patients
First Care Collaborative PLLC Family Medicine PastSince Oct 4, 2020 Accepting new patients

Locations

4053 Taylor Rd
Ste K
Chesapeake, VA 23321
Phone (757) 483-6401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2801/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mansukhlalramolia@fcpc.allscriptsdirect.net

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

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1679502413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE K",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-638-0085",
            "fax_number": "757-686-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD",
            "address_2": "SUITE K",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215537",
            "telephone_number": "757-483-6401",
            "fax_number": "757-686-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOLIA",
        "first_name": "MANSUKHLAL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101030989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "073324",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.