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VISHAKA CHETRAM
NPI 1134745375
Internal Medicine - Cardiovascular Disease in Fairfax, VA

Active since June 23, 2020PECOS Enrolled
3300 GALLOWS RD, FAIRFAX, VA 22031(703) 776-4001 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Jul 5, 2023, Jun 23, 2020 (3 updates tracked since 2020).

About Vishaka Chetram NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISHAKA CHETRAM (NPI 1134745375) is an individual cardiovascular disease provider in Fairfax, Virginia, licensed in Connecticut (83037) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bristol, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134745375
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameVISHAKA CHETRAM
Location Address3300 GALLOWS RDFairfax, VA 22031
Mailing Address3300 Gallows RdFairfax, VA 22031 · (703) 776-4001
Phone(703) 776-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 23, 2020
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1134745375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 83037
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3300 GALLOWS RD, Fairfax, VA 22031
Open in Google Maps ↗

Secondary Practice Location 1

Location 115 Riverside AveBristol, CT 06010-6312 · Phone (860) 582-3235 · Fax (860) 582-3235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vishaka Chetram is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638634900
PECOS Enrollment IDI20260717002265
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Vishaka Chetram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bristol Hospital Multi Specialty Group, Inc
298 mi
General Practice
15 RIVERSIDE AVE
Bristol, CT 06010
  • Reassigned Medicare billing, Connecticut enrollment
  • 222 clinicians in this Medicare group
NPI 1649265679 (860) 585-3906

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vishaka Chetram's NPI number?

The NPI number for Vishaka Chetram is 1134745375. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Vishaka Chetram located?

Vishaka Chetram practices at 3300 Gallows Rd, Fairfax, VA 22031. The listed phone number is (703) 776-4001.

What is Vishaka Chetram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Vishaka Chetram enrolled in Medicare?

Yes. Vishaka Chetram is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vishaka Chetram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishaka Chetram reassigns Medicare benefits to Bristol Hospital Multi Specialty Group, Inc (Bristol, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vishaka Chetram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vishaka Chetram was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.