DR. CHETAN BALAKRISHNA PAI D.O
NPI 1649488230
Internal Medicine - Gastroenterology in Fredericksburg, VA

Q: What is Chetan Pai's NPI number?

The NPI number for Chetan Pai is 1649488230. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Chetan Pai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Chetan Pai was last updated on March 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment

1031 CARE WAY, FREDERICKSBURG, VA 22401(540) 371-7600 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Chetan Balakrishna Pai D.o NPPES

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

DR. CHETAN BALAKRISHNA PAI D.O (NPI 1649488230) is an individual gastroenterology provider in Fredericksburg, Virginia, licensed in Virginia (0102202540) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1649488230

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. CHETAN BALAKRISHNA PAICredential: D.O

Location Address1031 CARE WAYFredericksburg, VA 22401-8425

Mailing Address8411 Broadmore LnSpotsylvania, VA 22553-3645 · (540) 371-7600

Phone(540) 371-7600

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 18, 2007

Last NPPES UpdateMarch 16, 2012

✔ NPI 1649488230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in VA · 0102202540

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1031 CARE WAY, Fredericksburg, VA 22401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chetan Balakrishna Pai D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840386728

PECOS Enrollment IDI20100709000470

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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

253 services230 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

190 services166 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

185 services153 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

82 services82 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

81 services81 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

65 services60 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

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.

44 services29 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial 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.

39 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services31 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

31 services31 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

26 services26 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

26 services26 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

16 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

15 services15 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

11 services11 patients

Tying of single internal hemorrhoid group 46945

This procedure involves tying off an internal hemorrhoid group to restrict its blood supply. Hemorrhoids are swollen veins in the lower part of the rectum. By limiting their blood flow, they shrink and eventually disappear, alleviating discomfort and bleeding.

11 services11 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490022

Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County

Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490140

Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL ASHANTI PA-C

Physician Assistant

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

LAUREN CRONISE SEARLS DO

Internal Medicine (Gastroenterology)

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

DR. FRANK J DETRANE M.D.

Internal Medicine (Gastroenterology)

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

REHAN AHMED

Physician Assistant

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

KAITLIN DANIELLE GILBERT PA-C

Physician Assistant

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

STEPHANIE ROSAS PA-C

Physician Assistant

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 371-7600

AKASH AJMERA M.D.

Internal Medicine (Gastroenterology)

1031 CARE WAY
FREDERICKSBRG, VA 22401

Fredericksburg City (540) 371-2046

MEDSTAR MEDICAL GROUP II LLC

General Practice

1031 CARE WAY
FREDERICKSBURG, VA 22401

Fredericksburg City (202) 877-7108

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 Chetan Pai's NPI number?

The NPI number for Chetan Pai is 1649488230. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Chetan Pai located?

Chetan Pai practices at 1031 Care Way, Fredericksburg, VA 22401. The listed phone number is (540) 371-7600.

What is Chetan Pai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Chetan Pai enrolled in Medicare?

Yes. Chetan Pai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Chetan Pai affiliated with any hospitals?

According to CMS data, Chetan Pai is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Chetan Pai was last updated on March 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.