NPIMap

Individual provider Active NPI

Rajendra S Trivedi, MD

  • Family Medicine Physician
  • Danville, VA
National Provider Identifier
1740222843
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101053147 Issued in VA
Practice address
501 Rison St
Suite 120
Danville, VA 24541-2458
Phone
(434) 792-3730
Fax
(434) 792-6048
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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 0101053147 VA Primary

Addresses

Primary practice location

501 Rison St
Suite 120
Danville, VA 24541-2458

Mailing address

PO Box 10399
Danville, VA 24543-5007
Phone (434) 792-3730

Other identifiers 4

IdentifierTypeStateIssuer
080163816OtherVAPALMETTO GBA MC
258015OtherVAANTHEM BCBS
005619505MedicaidVA
89063VUMedicaidNC

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
I20080408000864 VA Practitioner - Family Practice 6800810953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandy River Family Care IncGroup PAC ID 4688724024, 2 clinicians
Memorial Family Care IncGroup PAC ID 4486600194, 2 clinicians

Practice addresses (Care Compare)

4520 Medical Ctr Rd
Axton, VA 24054-2822
Phone (434) 685-7095

501 Rison St
Suite 120
Danville, VA 24541-2426
Phone (804) 792-3730

Hospital & facility affiliations

  • Commonwealth Healthcare at Home Home health agency, Danville, VA, CCN 497061
  • Hallmark Home Health Care Home health agency, Danville, VA, CCN 497462
  • Commonwealth Hospice Hospice, Danville, VA, CCN 491605
  • Sovah Health Danville Hospital, Danville, VA, CCN 490075
  • Roman Eagle Rehabilitation and Health Care Center Nursing home, Danville, VA, CCN 495015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jan 10, 2017 Accepting new patients
Sandy River Family Care Inc Family Medicine CurrentSince Apr 27, 2009 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Jan 10, 2017 Accepting new patients
Memorial Family Care Inc Family Medicine CurrentSince Dec 4, 2000 Accepting new patients
Central Piedmont Health Services, Inc PastSince Apr 27, 2009 Accepting new patients
Memorial Family Care PastSince Dec 4, 2000 Accepting new patients

Locations

4520 Medical Center Rd
Axton, VA 24054
Phone (434) 685-7095

501 Rison St
Ste 120
Danville, VA 24541
Phone (434) 792-3730

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: drrj@sandyriver.azalea.phimailbox.com
  • Direct secure messaging: drrt@memorialfamily.azalea.phimailbox.com

Organizations & group practices 6

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 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1740222843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10399",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245435007",
            "telephone_number": "434-792-3730",
            "fax_number": "434-792-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RISON ST",
            "address_2": "SUITE 120",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412458",
            "telephone_number": "434-792-3730",
            "fax_number": "434-792-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "RAJENDRA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101053147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MC",
            "identifier": "080163816",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "258015",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005619505",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89063VU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.