Individual provider Active NPI

Jared Kachurak

  • Surgical Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1679998116
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1101 Sam Perry Blvd
Suite 211
Fredericksburg, VA 22401-4467
Phone
(540) 372-7792
Fax
(540) 372-2073
NPI assigned
Feb 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd
Suite 211
Fredericksburg, VA 22401-4467

Mailing address

1101 Sam Perry Blvd
Suite 211
Fredericksburg, VA 22401-4467
Phone (540) 372-7792

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JARED.KACHURAK@hca6.eclinicaldirectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523000518 VA Practitioner - Physician Assistant 4587887351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgical Associates LLCGroup PAC ID 7416012448, 20 clinicians

Practice addresses (Care Compare)

7101 Jahnke Rd
Suite 500
Richmond, VA 23225-4017
Phone (804) 320-2751

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as group
Quality
80.52
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac & Thoracic Surgical Associates, LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jared.kachurak@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679998116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 211",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-372-7792",
            "fax_number": "540-372-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 211",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-372-7792",
            "fax_number": "540-372-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHURAK",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-20",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JARED.KACHURAK@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1101 Sam Perry Blvd",
            "address_2": "SUITE 211",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224014467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.