Organization Active NPI

Danville Patient Care, Inc.

  • Internal Medicine Physician
  • Danville, VA
National Provider Identifier
1811096704
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101056050 Issued in VA
Legal business name
DANVILLE PATIENT CARE, INC.
Practice address
1955 Memorial Dr
Danville, VA 24541-4712
Phone
(434) 799-2055
Fax
(434) 799-2044
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Venugopal K Vasireddy, MDNPI 1982651014
Title
President
Phone
(434) 799-2055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101056050 VA Primary

Addresses

Primary practice location

1955 Memorial Dr
Danville, VA 24541-4712

Mailing address

1955 Memorial Dr
Danville, VA 24541-4712
Phone (434) 799-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000563 VA Part B Supplier - Clinic/Group Practice 2961505813 Receives reassigned benefits from 2 practitioners
Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Locations

1955 Memorial Dr
Danville, VA 24541
Phone (434) 799-2055

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1811096704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MEMORIAL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414712",
            "telephone_number": "434-799-2055",
            "fax_number": "434-799-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MEMORIAL DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414712",
            "telephone_number": "434-799-2055",
            "fax_number": "434-799-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PATIENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "VASIREDDY",
        "authorized_official_first_name": "VENUGOPAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-799-2055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101056050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.