NPIMap

Individual provider Active NPI

Kausalya Pendyal, M.D.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1831188119
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9425 Issued in ND
Practice address
500 Hioaks Rd Ste B
Richmond, VA 23225-4061
Phone
(804) 560-0490
Fax
(804) 560-3424
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9425 ND Primary

Addresses

Primary practice location

500 Hioaks Rd Ste B
Richmond, VA 23225-4061

Mailing address

PO Box 281814
Atlanta, GA 30384-1814
Phone (804) 560-0490

Other practice location 1

420 S 7th St
Oakes, ND 58474-2024
Phone (701) 742-3267

Other identifiers 1

IdentifierTypeStateIssuer
1831188119MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KAUSALYA.PENDYAL@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000711 VA Practitioner - Family Practice 0244287852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Group IncGroup PAC ID 3577465202, 18 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

10130 Hull St Rd
Midlothian, VA 23112-3300
Phone (804) 276-6900

3000 G Stony Point Rd
Richmond, VA 23235-2349
Phone (804) 877-0008

500 Hioaks Rd
Richmond, VA 23225-4061
Phone (804) 271-8990

500 Hioaks Rd B
Richmond, VA 23225-4061
Phone (804) 560-0490

6439 Iron Bridge Rd
North Chesterfield, VA 23234-5205
Phone (804) 271-8990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9425NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Healthcare of Central Virginia Inc CurrentSince Feb 22, 2024 Accepting new patients
Primary Health Group Inc Family Medicine CurrentSince Jul 21, 2008 Accepting new patients
Quick Care Center LLC Family Medicine Past Accepting new patients
Southeast Medical Center PC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10130 Hull Street Rd
Midlothian, VA 23112
Phone (804) 276-6900

6439 Iron Bridge Rd
North Chesterfield, VA 23234
Phone (804) 271-8960

500 Hioaks Rd
Ste B
Richmond, VA 23225
Phone (804) 320-1339

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

Organizations & group practices 4

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.

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1831188119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281814",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841814",
            "telephone_number": "804-560-0490",
            "fax_number": "804-560-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HIOAKS RD STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254061",
            "telephone_number": "804-560-0490",
            "fax_number": "804-560-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Oakes",
            "state": "ND",
            "postal_code": "584742024",
            "country_code": "US",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDYAL",
        "first_name": "KAUSALYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "9425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831188119",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KAUSALYA.PENDYAL@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "500 Hioaks Rd Ste B",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232254061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.