Active NPI
Devmith Chinthaka Gajadeera, M.D.
- Internal Medicine Physician
- South Boston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101265951
- Practice address
- 101 Aubreys Loop
South Boston, VA 24592-5054 - Phone
- (434) 517-3879
- Fax
- (434) 517-3989
- NPI assigned
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | CT | ||
| Internal Medicine Physician | 207R00000X | 0101265951 | VA | Primary |
Addresses
Primary practice location
101 Aubreys Loop
South Boston, VA 24592-5054
Mailing address
101 Aubreys Loop
South Boston, VA 24592-5054
Phone (434) 517-3879
Other practice location 1
24 Hospital Ave
Danbury Hospital
Danbury, CT 06810
Phone (203) 739-8105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1201 Seven Locks Rd
Suite 111
Rockville, MD 20854-2957
Phone (301) 762-5020
4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813
6410 Rockledge Dr
Bethesda, MD 20817-1844
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Internal Medicine | Current | Accepting new patients |
| Privia Care Center LLC | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Medical Associates of Central Virginia, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
1201 Seven Locks Rd
Ste 111
Rockville, MD 20854
Phone (301) 762-5020
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Interoperability endpoints
- devmith.gajadeera.1@8042.direct.athenahealth.com
- devmith.gajadeeramd.p2@direct.msmg.nextgenshare.com
Organizations & group practices 7
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.
-
dba NRH Rehabilitation Network at Bethesda
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Internal Medicine Physician
- Lynchburg, VA
- NPI 1912970260
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1598826448
-
- Home Health Agency
- Gaithersburg, MD
- NPI 1902149891
-
dba Sibley Memorial Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
-
dba Potomac Home Health Care, Inc.
- Home Health Agency
- Bethesda, MD
- NPI 1144267147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1760832372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 AUBREYS LOOP",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245925054",
"telephone_number": "434-517-3879",
"fax_number": "434-517-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AUBREYS LOOP",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245925054",
"telephone_number": "434-517-3879",
"fax_number": "434-517-3989"
}
],
"practiceLocations": [
{
"address_1": "24 Hospital Ave",
"address_2": "Danbury Hospital",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "06810",
"country_code": "US",
"telephone_number": "203-739-8105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAJADEERA",
"first_name": "DEVMITH",
"middle_name": "CHINTHAKA",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101265951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
- Jenilee Rose Foster, P.A.
- Tiffany Francisco, PHARMD
- Fuller Roberts OB-GYN and Primary Care
- Fuller-Roberts Clinic, Inc
- William Allen Fuller Jr., MD
- Galax Treatment Center, LLC (Southstone Recovery Center)
- Brooke Gasperini, LPC
- Joseph Hugh Gasperini, LPC
- Gerald C Burnett MD LTD
- Michelle Bender Gibson, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.