Prasad Balkrishna Bichu, MD
Individual provider Active NPI Nephrology Physician · Beaver, PA
NPI 1679675748 · NPPES record last updated Aug 5, 2016
Key facts
- NPI
- 1679675748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD454185 (PA)
- Practice address
- 1000 Dutch Ridge Rd
Beaver, PA 15009-9727 - Phone
- (724) 773-1941
- Fax
- (724) 773-8370
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nephrology Associates of Tidewater LTD
Practice addresses (Care Compare)
2476 Nimmo Pkwy
Suite 109
Virginia Beach, VA 23456-2594
Phone (757) 689-0211
Hospital & facility affiliations
- Bma - Greater Norfolk
- Fresenius Kidney Care North Suffolk
- Fresenius Kidney Care North Suffolk Home
- Rai - Airline-Portsmouth 7253
- Sentara Norfolk General Hospital
- Bon Secours Maryview Medical Center
- Sentara Leigh Hospital
- Bon Secours Harbour View Medical Center
- Sentara Virginia Beach General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170330000393 | VA | Practitioner - Nephrology |
5698922805 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Tidewater LTD | Nephrology | Current |
Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
6160 Kempsville Cir
Ste 302A
Norfolk, VA 23502
Phone (757) 466-9288
301 Riverview Ave
Ste 600
Norfolk, VA 23510
Phone (757) 627-7301
3640 High St
Ste 2G
Portsmouth, VA 23707
Phone (757) 483-6100
2476 Nimmo Pkwy
Ste 109
Virginia Beach, VA 23456
Phone (757) 430-1936
1800 Camelot Dr
Ste 401
Virginia Beach, VA 23454
Phone (757) 496-3705
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000397
- prasadbichu@natltd.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 2010015537 | MO | |
| Nephrology Physician | 207RN0300X | MD454185 | PA | Yes |
| Nephrology Physician | 207RN0300X | 2010015537 | MO |
Addresses
Primary practice location
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Mailing address
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-1941
Other providers in Beaver, PA
- Christina Marie Bertocchini
- Anna Bettencourt
- Amy Jo Beyer
- Sawina Bhandari
- Dinesh Bhaskaran
- Bluestem Behavioral Health
- Bluestem Behavioral Health Group LLC
- Jennifer Ruth Bobish
- Lorrie Bollard
- Lori Bollen
All providers in Beaver, PA · Nephrology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.