Organization Active NPI

Kishor S Dabhi MD PC

  • Internal Medicine Physician
  • Colonial Heights, VA
National Provider Identifier
1831269703
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101057702 Issued in VA
Legal business name
KISHOR S DABHI MD PC
Practice address
3628 Boulevard
Colonial Heights, VA 23834-1342
Phone
(804) 526-5850
Fax
(804) 520-7312
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Kishor S Dabhi, M.D.NPI 1285749051
Title
Owner
Phone
(804) 526-5850

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 0101057702 VA Primary

Addresses

Primary practice location

3628 Boulevard
Colonial Heights, VA 23834-1342

Mailing address

3628 Boulevard
Colonial Heights, VA 23834-1342
Phone (804) 526-5850

Other identifiers 1

IdentifierTypeStateIssuer
5860857MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000510 VA Part B Supplier - Clinic/Group Practice 8921071432 Receives reassigned benefits from 1 practitioner
Practice locations: Colonial Heights, VA

National Provider Directory

National Provider Directory

Locations

3628 Boulevard
Colonial Hgts, VA 23834
Phone (804) 526-5850

Practitioners & affiliated clinicians

Practitioners 1

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1831269703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341342",
            "telephone_number": "804-526-5850",
            "fax_number": "804-520-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341342",
            "telephone_number": "804-526-5850",
            "fax_number": "804-520-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHOR S DABHI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "DABHI",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-526-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5860857",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.