| Dr Prakasam Kalluri, MD | |
|
815 W Poythress St, Hopewell, VA 23860-2532 | |
| (804) 471-7730 | |
| (804) 471-7731 |
| Full Name | Dr Prakasam Kalluri |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 27 Years |
| Location | 815 W Poythress St, Hopewell, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558365445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0101237849 (Virginia) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 0101237849 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brookdale Home Health Richmond | Richmond, VA | Home health agency |
| Encompass Home Health Of Virginia | Petersburg, VA | Home health agency |
| John Randolph Medical Center | Hopewell, VA | Hospital |
| Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Community Memorial Hospital | South hill, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Healthcare Of Central Virginia Inc | 9234118340 | 30 |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Entity Name | Columbia Healthcare Of Central Virginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417946450 PECOS PAC ID: 9234118340 Enrollment ID: O20041203000047 |
| Entity Name | Appomattox River Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023764982 PECOS PAC ID: 8022493469 Enrollment ID: O20220921000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prakasam Kalluri, MD 815 W Poythress St, Hopewell, VA 23860-2532 Ph: (804) 471-7730 | Dr Prakasam Kalluri, MD 815 W Poythress St, Hopewell, VA 23860-2532 Ph: (804) 471-7730 |