ATCHUYTARAMKUMAR PACHIGOLLA MB,BS
NPI 1528388766
Internal Medicine in Roanoke, VA
NPI Status: Active since June 10, 2010
Contact Information
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7000
- Individual
- Male
- Years of Experience 19
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ATCHUYTARAMKUMAR PACHIGOLLA
This page provides the complete NPI Profile along with additional information for Atchuytaramkumar Pachigolla, an internist established in Roanoke, Virginia with a medical specialization in Internal Medicine and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1528388766 assigned on June 2010. The practitioner's primary taxonomy code is 207R00000X with license number 0101262015 (VA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1528388766
- Provider Name
- ATCHUYTARAMKUMAR PACHIGOLLA MB,BS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1906 BELLEVIEW AVE SE ROANOKE, VA 24014
- Location Phone
- (540) 981-7000
- Mailing Address
- 1906 BELLEVIEW AVE SE ROANOKE, VA 24014
- Mailing Phone
- (540) 981-7000
- Medical School Name
- OTHER
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2010
- Last Update Date
- 07-21-2022
- Code Navigator
An internist like Atchuytaramkumar Pachigolla is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101262015
- License State
- VA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | 8842 (SD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Atchuytaramkumar Pachigolla is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Atchuytaramkumar Pachigolla is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4789825100
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130729000187, I20230420001743
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 15 Medicare Claims 15 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Initial hospital inpatient care per day, typically 70 minutes
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 25 times for 16 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 262 times for 89 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 40 times for 40 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 20 times for 20 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.26 for a new patient copayment and $24.78 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 24014 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $129.04
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $32.26
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.13
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $24.78
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Atchuytaramkumar Pachigolla is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
AVERA ST LUKES | 305 S STATE ST POST OFFICE BOX 4450 ABERDEEN, SD 57401 | (605) 622-5000 | Acute Care Hospitals | |
ST DAVID'S SOUTH AUSTIN MEDICAL CENTER | 901 WEST BEN WHITE BLVD AUSTIN, TX 78704 | (512) 448-7107 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 2 | 8 | 3 | 8 | 8 | 7 | 6 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 6 | 8 | 16 | 7 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 6 + 8 + 1 + 6 + 7 + 1 + 2 + 24 = 74 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 74 = 6 | 6 |
The NPI number 1528388766 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. WILLIAM GRIFFIN PRICE MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
SARA L NICELY PA-C
Physician Assistant
(Medical)
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
GARY D HAHN CRNA
Nurse Anesthetist, Certified Registered
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
MR. MOHAMMAD NASEEM MD
Radiology
(Diagnostic Radiology)
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
WILLIAM H CRAGUN MD
Internal Medicine
(Pulmonary Disease)
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
RICHARD BUTLER D.O.
Internal Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
GRACE ANN DZIDO M.D.
Internal Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
JAMES B FRANKO M.D.
Internal Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
CAROL M GILBERT M.D.
Surgery
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
STEVEN E SOMMER M.D.
Internal Medicine
(Critical Care Medicine)
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
ROBERT A FRANKLIN PA
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
DR. SHELBY C DICKERSON MD
Internal Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
KIRSHAN K TAYAL MD
Surgery
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
DR. KERRY ALEXANDER POWELL M.D.
Emergency Medicine
1906 BELLEVIEW AVE SE
CRMH DEPARTMENT OF EMERGENCY MEDICINE
ROANOKE, VA
ZIP 24014
JOHN R LUCAS JR. D.O.
Emergency Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
JOHN K EVETT M.D.
Emergency Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
JANE I. BELCHER CRNA
Nurse Anesthetist, Certified Registered
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
MRS. JACKIE BRATTON MARTIN RNC, MS, NNP
Nurse Practitioner
(Neonatal)
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
DR. ROBERT EARL BUDIN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
KENNETH GERGELY CRNA
Nurse Anesthetist, Certified Registered
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528388766, enumerated as an "individual" on June 10, 2010.
The provider is located at 1906 BELLEVIEW AVE SE ROANOKE, VA 24014 and the phone number is (540) 981-7000.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medica and Wellmark of South Dakota, Inc.. Please consult your insurance carrier or call the provider to verify.
Atchuytaramkumar Pachigolla is affiliated with: AVERA ST LUKES and ST DAVID'S SOUTH AUSTIN MEDICAL CENTER.