DR. KADARNATH SHAMMIE BOODRAM (MD) – Internal Medicine Physician, NPI 1679546923
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,930 INTERNAL MEDICINE in VA
Provider Addresses for DR. KADARNATH SHAMMIE BOODRAM (MD)
430 Clairmont Ct Ste 123
Colonial Heights, VA 238341770
Phone: (804) 526-7900
Fax: (804) 526-7195
Type: Location
410 RAVENSCROFT RD
SOUTH PRINCE GEORGE, VA 238057121
Phone: (804) 526-7900
Fax: (804) 526-7195
Type: Mailing
430 CLAIRMONT CT STE 123
COLONIAL HEIGHTS, VA 238341770
Phone: (804) 526-7900
Fax: (804) 526-7195
Type: Location
601, Old Wagner Road, Berkeley Manor, Petersburg, Virginia, 23805, United States
SUITE 103
PETERSBURG, VA 238059313
Phone: (804) 526-7900
Fax: (804) 526-7195
Type: Location
4300 CROSSINGS BLVD STE 101
PRINCE GEORGE, VA 238751452
Phone: (804) 526-7900
Fax: (804) 526-7195
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 122 Open Payments records for all available years, with a total value of $2,443.
Total Amount is formed as General ($2,443) + Research ($0) + Ownership ($0) = $2,443.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($376).
Total Amount
$2,443
General + Research + Ownership
Payments
122
Total payment records
General Amount
$2,443
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $376 |
| GlaxoSmithKline, LLC. | $350 |
| Lilly USA, LLC | $349 |
| Novo Nordisk Inc | $286 |
| ABBVIE INC. | $168 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040505001229 | I | Internal Medicine | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,039 | 354 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 362 | 212 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 309 | 309 | $0 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 292 | 292 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 275 | 275 | $0 |
Insurance plans in this area (ZIP 23834)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | VA | 20610 | Aspiration and/or injection of large joint or joint capsule | 21 | 15 |
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