Cross Lanes Internal Medicine Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CROSS LANES INTERNAL MEDICINE GROUP INC

Practice address

117 Goff Mountain Rd
Cross Lanes Internal Medicine Group Inc
Cross Lanes, WV 25313-1434

Phone

(304) 776-2072

Fax

(304) 776-7678

NPI assigned

Oct 18, 2005

Last updated

Jul 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arvind Z Viradia, MDNPI 1417947904

Title

President

Phone

(304) 776-2072

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arvind Z Viradia, MD

  • Internal Medicine Physician
  • Cross Lanes, WV
  • NPI 1417947904
  Medicare reassignment Authorized official
• Narendra D Parikshak, MD

  • Internal Medicine Physician
  • Dunbar, WV
  • NPI 1134110729
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1760471171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GOFF MOUNTAIN RD",
            "address_2": "CROSS LANES INTERNAL MEDICINE GROUP INC",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131434",
            "telephone_number": "304-776-2072",
            "fax_number": "304-776-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GOFF MOUNTAIN RD",
            "address_2": "CROSS LANES INTERNAL MEDICINE GROUP INC",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131434",
            "telephone_number": "304-776-2072",
            "fax_number": "304-776-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS LANES INTERNAL MEDICINE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "VIRADIA",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-776-2072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1230008000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Crank
• Shaijanae Crawford
• Cross Lanes Family Pharmacy Inc (Cross Lanes Family Pharmacy)
• Cross Lanes Family Practice, Inc.
• Cross Lanes Family Practice, Inc. (Lab)
• Ashley Ann Croushorn
• Alexa Cummings
• Kayla Cunningham
• Richard Davis
• DC Diagnostic Center PLLC

• Internal Medicine Physician in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.