Individual provider Active NPI

Gade Syamala

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1780069955
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172777 Issued in VA
Practice address
6605 W Broad St Ste a
C/O Virginia Cancer Institute
Richmond, VA 23230-1714
Phone
(804) 287-3000
Fax
(804) 673-1941
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172777 VA Primary

Addresses

Primary practice location

6605 W Broad St Ste a
C/O Virginia Cancer Institute
Richmond, VA 23230-1714

Mailing address

7202 Glen Forest Dr Ste 200
C/O Virginia Cancer Institute
Richmond, VA 23226-3780
Phone (804) 673-2024

Other practice location 1

8007 Discovery Dr
Richmond, VA 23229-8605
Phone (804) 287-3000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151130000484 VA Practitioner - Nurse Practitioner 1850691791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Cancer Institute IncorporatedGroup PAC ID 8628048378, 47 clinicians

Practice addresses (Care Compare)

8007 Discovery Dr
Suite a
Richmond, VA 23229-8605
Phone (804) 287-3000

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
58.64
Promoting interoperability
81
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024172777VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Institute Incorporated CurrentSince Oct 19, 2015 Accepting new patients
Virginia Cancer Institute Incorporated CurrentSince Oct 19, 2015 Accepting new patients
Virginia Cancer Institute Incorporated Past Accepting new patients

Locations

7492 Right Flank Rd
Mechanicsville, VA 23116
Phone (804) 559-0736

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

6605 W Broad St
Ste A
Richmond, VA 23230
Phone (804) 287-3000

8007 Discovery Dr
Ste A
Richmond, VA 23229
Phone (804) 287-3000

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1780069955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "address_2": "C/O VIRGINIA CANCER INSTITUTE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-673-2024",
            "fax_number": "804-673-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 W BROAD ST STE A",
            "address_2": "C/O VIRGINIA CANCER INSTITUTE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301714",
            "telephone_number": "804-287-3000",
            "fax_number": "804-673-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8007 Discovery Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232298605",
            "country_code": "US",
            "telephone_number": "804-287-3000",
            "fax_number": "804-673-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYAMALA",
        "first_name": "GADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.