NPIMap

Individual provider Active NPI

Vikas Pathak, M.D.

  • Pulmonary Disease Physician
  • Raleigh, NC
National Provider Identifier
1740474121
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101255685 Issued in VA
Practice address
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone
(919) 350-7270
Fax
(919) 350-7204
NPI assigned
Aug 29, 2007
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011-00900 NC
Pulmonary Disease Physician 207RP1001X 2011-00900 NC
Pulmonary Disease Physician 207RP1001X 0101255685 VA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2011-00900 NC

Addresses

Primary practice location

3024 New Bern Ave
Raleigh, NC 27610-1247

Mailing address

856 J Clyde Morris Blvd
Ste a
Newport News, VA 23601-1318
Phone (757) 316-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150207000037 VA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8628262631 Reassigns benefits to 5 organizations
I20251122000576 DC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8628262631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Institute of Lung Diseases LLCGroup PAC ID 0941677256, 10 clinicians
Sound Physicians Intensivists of Virginia LLCGroup PAC ID 1759611411, 49 clinicians
Richmond Heart and Vascular AssociatesGroup PAC ID 4385039718, 23 clinicians

Practice addresses (Care Compare)

101 Pickett PL
Yorktown, VA 23693-2451
Phone (502) 244-9859

2501 Parkers LN
FL 4
Alexandria, VA 22306-3209
Phone (804) 214-6178

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 276-5020

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 285-2011

8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 800-6600

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 764-6000

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-00900NCMDCritical Care Medicine (Internal Medicine) Physician
0101255685VAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Institute of Lung Diseases LLC Pulmonary Disease CurrentSince Nov 1, 2022 Accepting new patients
Clark Palliative Medicine Group CurrentSince Jul 1, 2022 Accepting new patients
Richmond Heart and Vascular Associates Pulmonary Disease CurrentSince May 1, 2024 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Critical Care Medicine CurrentSince Aug 20, 2021 Accepting new patients
Clark Alliance Services Inc Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Clark Pulmonary Group Pulmonary Disease CurrentSince Jun 1, 2022 Accepting new patients

Locations

2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020

8243 Meadowbridge Rd
Mechanicsvlle, VA 23116
Phone (804) 730-1481

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

500 J Clyde Morris Blvd
#4
Newport News, VA 23601
Phone (757) 276-5020

500 J Clyde Morris Blvd
#F4
Newport News, VA 23601

500 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25854/brand/4/csg/1/fhir/r4
  • Direct secure messaging: vikas.pathak.1@25854.direct.athenahealth.com
  • Direct secure messaging: vikas.pathak@hca6.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1740474121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5888",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101247",
            "telephone_number": "919-350-7270",
            "fax_number": "919-350-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "VIKAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2011-00900",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2011-00900",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101255685",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2011-00900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.