Individual provider Active NPI

Guru Prakash Mohanty, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • North Chesterfield, VA
National Provider Identifier
1699952275
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101258871 Issued in VA
Practice address
1001 Boulders Pkwy Ste 110
North Chesterfield, VA 23225
Phone
(804) 410-9749
NPI assigned
Jan 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101258871 VA
Clinical Cardiac Electrophysiology Physician 207RC0001X MD19842 ME
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101258871 VA Primary

Addresses

Primary practice location

1001 Boulders Pkwy Ste 110
North Chesterfield, VA 23225

Mailing address

1001 Boulders Pkwy Ste 110
North Chesterfield, VA 23225-5513
Phone (804) 410-9749

Other practice location 1

7605 Forest Ave Ste 100
Richmond, VA 23229-4936
Phone (804) 410-9749

Other practice location 2

1001 Boulders Pkwy Ste 110
North Chesterfield, VA 23225
Phone (804) 410-9749

Other practice location 3

930 South Ave Ste 4C
Colonial Heights, VA 23834-3620
Phone (804) 410-9749

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
I20151015002543 VA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9436226248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Arrhythmia Consultants PLLCGroup PAC ID 9133453293, 6 clinicians

Practice addresses (Care Compare)

7605 Forest Ave
Suite 410
Henrico, VA 23229-4941
Phone (804) 410-9749

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
87.32
Promoting interoperability
100
Improvement activities
40
Cost
63.11

Merit-based Incentive Payment System (MIPS)

Final score
68.08 of 100Reported as group
Quality
15
Promoting interoperability
95
Improvement activities
40
Cost
76.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101258871VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Arrhythmia Consultants PLLC Clinical Cardiac Electrophysiology CurrentSince Feb 13, 2019 Accepting new patients
HCA Health Services of Virginia, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. CurrentSince May 1, 2020 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. Current Accepting new patients

Locations

930 South Ave
Ste 4C
Colonial Heights, VA 23834
Phone (804) 410-9749

1001 Boulders Pkwy
Ste 110
North Chesterfield, VA 23225
Phone (804) 410-9749

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7605 Forest Ave
Ste 100
Richmond, VA 23229
Phone (804) 288-8338

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7605 Forest Ave
Ste 410
Richmond, VA 23229
Phone (804) 285-1833

Interoperability endpoints

  • Direct secure messaging: guru.mohanty.p1@direct.vacardio.nextgenshare.com
  • Direct secure messaging: guru.mohanty.1@18706.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18706/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 3

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": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1699952275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BOULDERS PKWY STE 110",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255513",
            "telephone_number": "804-410-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BOULDERS PKWY STE 110",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-410-9749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7605 Forest Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232294936",
            "country_code": "US",
            "telephone_number": "804-410-9749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Boulders Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "23225",
            "country_code": "US",
            "telephone_number": "804-410-9749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 South Ave Ste 4C",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238343620",
            "country_code": "US",
            "telephone_number": "804-410-9749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHANTY",
        "first_name": "GURU",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-26",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101258871",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "ME",
            "license": "MD19842",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101258871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.