Virag Pandeya, M.D.
Individual provider Active NPI Internal Medicine Physician · Munfordville, KY
NPI 1962411504 · NPPES record last updated Jan 25, 2021
Key facts
- NPI
- 1962411504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 38368 (KY)
- Practice address
- 950 Main St
Munfordville, KY 42765-9435 - Phone
- (270) 524-1201
- Fax
- (270) 506-5972
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graves Gilbert Clinic PLLC
Practice addresses (Care Compare)
201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| GGC Ruralhealth Clinic Munfordville |
Rural health clinic | Corporate Director W-2 Managing Employee |
Apr 22, 2025 Apr 22, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040216000455 | KY | Practitioner - Internal Medicine | 4486549938 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38368 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current |
Accepting new patients | |
| MNT, Inc. | Past | Accepting new patients | |
| Caverna Memorial Hospital, Inc. | Internal Medicine | Past | Accepting new patients |
| Caverna Memorial Hospital, Inc. | Internal Medicine | Past | Accepting new patients |
| LP Horse Cave, LLC | Past | Accepting new patients |
Locations
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255
950 Main St
Rowletts, KY 42765
Phone (270) 524-1201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 38368 | KY | Yes |
Addresses
Primary practice location
950 Main St
Munfordville, KY 42765-9435
Mailing address
201 Park St
Bowling Green, KY 42101-1708
Phone (270) 524-1201
Other providers in Munfordville, KY
- James W Middleton Jr.
- Autumn Minch
- Kimberly Ann Owens
- Sandhya Pahuja
- Jackie A. Pandeya
- Kelly C. Pate
- Anissa Pendleton
- Julie Percefull
- Brandy Gayle Pierce
- Leslie Anne Pike
All providers in Munfordville, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.