DR. KADARNATH SHAMMIE BOODRAM MD
NPI 1679546923
Internal Medicine in Prince George, VA

Q: What is Kadarnath Boodram's NPI number?

The NPI number for Kadarnath Boodram is 1679546923. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is Kadarnath Boodram's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kadarnath Boodram was last updated on March 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment

85.93/100

CMS Quality Rating

4300 CROSSINGS BLVD STE 101, PRINCE GEORGE, VA 23875(804) 526-7900(804) 526-7195 Get Directions Write a Review

NPPES record last updated: March 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2024, Nov 15, 2023, Aug 22, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Dr. Kadarnath Shammie Boodram Md NPPES

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

DR. KADARNATH SHAMMIE BOODRAM MD (NPI 1679546923) is an individual internal medicine provider in Prince George, Virginia, licensed in Virginia (0101229800) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and maintains a secondary practice location in Colonial Heights.

NPPES Registry Identity

NPI1679546923

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KADARNATH SHAMMIE BOODRAMCredential: MD

Location Address4300 CROSSINGS BLVD STE 101Prince George, VA 23875-1452

Mailing Address410 Ravenscroft RdSouth Prince George, VA 23805-7121 · (804) 526-7900 · Fax (804) 526-7195

Phone(804) 526-7900

Fax(804) 526-7195

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 8, 2006

Last NPPES UpdateMarch 10, 20244 updates tracked since enumeration

NPPES CertifiedMarch 10, 2024

✔ NPI 1679546923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101229800

Definition

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.

4300 CROSSINGS BLVD STE 101, Prince George, VA 23875

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Secondary Practice Location 1

Location 1430 Clairmont Ct Ste 123Colonial Heights, VA 23834-1770 · Phone (804) 526-7900 · Fax (804) 526-7195

Other Identifiers 12

Other254668VA · Southern Health

Other010124701VA · Virginia Premiere

Other3689195VA · Aetna Hmo

Other7604973VA · Ghi

Other94167VI · Sentara/optima

Other0408689VI · United Healthcare

Other172714VA · Anthem Bc/bs

Other7404178VA · Aetna Ppo

Other0504963VA · Cigna

Medicaid010124701VA

Other54180VA · Carenet

Other8130003VA · Mamsi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kadarnath Shammie Boodram Md 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 ID4880682905

PECOS Enrollment IDI20040505001229

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 Kadarnath Boodram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kadarnath S Boodram MD LLC

Same address

Internal Medicine

4300 CROSSINGS BLVD STE 101
Prince George, VA 23875

Reassigned Medicare billing, Virginia enrollment

NPI 1093926552 (804) 526-7900

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

Areas of Expertise CMS Part B claims 19

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.

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.

918 services332 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.

384 services220 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

296 services296 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

281 services281 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

267 services267 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

265 services265 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

149 services149 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

142 services142 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

65 services65 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

65 services65 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

39 services31 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

35 services33 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

24 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

20 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services12 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

14 services14 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23875 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

87.54

Promoting Interoperability

Improvement Activities

Cost

66.4

Reported Quality Measures

Controlling High Blood Pressure

79%853 patients4/55-star benchmark: 91%

Dementia: Cognitive Assessment

72%25 patients

Documentation of Current Medications in the Medical Record

91%4,852 patients4/55-star benchmark: 100%

e-Prescribing

97%20,033 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

79%537 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

77%1,000 patients4/55-star benchmark: 97%

Provide Patients Electronic Access to Their Health Information

97%1,339 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 557 patients

Patients totalRate: 4% · 557 patients

5%557 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

21 suppliers95 claims214 services$6.35 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers21 claims21 services$2.93 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers48 claims58 services$1.17 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier23 claims23 services$3.32 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$67.82 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers26 claims4,660 services$0.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

KADARNATH S BOODRAM MD LLC

Internal Medicine

4300 CROSSINGS BLVD STE 101
PRINCE GEORGE, VA 23875

Prince George County (804) 526-7900

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 Kadarnath Boodram's NPI number?

The NPI number for Kadarnath Boodram is 1679546923. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Kadarnath Boodram located?

Kadarnath Boodram practices at 4300 Crossings Blvd Ste 101, Prince George, VA 23875. The listed phone number is (804) 526-7900.

What is Kadarnath Boodram's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kadarnath Boodram enrolled in Medicare?

Yes. Kadarnath Boodram 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.

Which organization bills Medicare for Kadarnath Boodram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kadarnath Boodram reassigns Medicare benefits to Kadarnath S Boodram MD LLC (Prince George, VA). 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 Kadarnath Boodram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kadarnath Boodram affiliated with any hospitals?

According to CMS data, Kadarnath Boodram is affiliated with John Randolph Medical Center, Bon Secours Southside Medical Center, Cjw Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Kadarnath Boodram was last updated on March 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.