Organization Active NPI

Prime Care Health Services PC

  • Internal Medicine Physician
  • Chester, VA
National Provider Identifier
1831158401
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME CARE HEALTH SERVICES PC
Practice address
1714 E Hundred Rd
Suite 101
Chester, VA 23831
Phone
(804) 530-5293
Fax
(804) 530-5295
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Gohar M Abbasi, MDNPI 1134198187
Title
President
Phone
(804) 530-5293

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 Primary

Addresses

Primary practice location

1714 E Hundred Rd
Suite 101
Chester, VA 23831

Mailing address

PO Box 11768
Richmond, VA 23230-0168
Phone (804) 353-4000

Other identifiers 1

IdentifierTypeStateIssuer
005830915MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080626000162 VA Part B Supplier - Clinic/Group Practice 0042382640 Receives reassigned benefits from 6 practitioners
Practice locations: Chester, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1831158401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300168",
            "telephone_number": "804-353-4000",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 E HUNDRED RD",
            "address_2": "SUITE 101",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "23831",
            "telephone_number": "804-530-5293",
            "fax_number": "804-530-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-530-5293",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005830915",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.