Kadarnath S Boodram MD LLC
NPI 1093926552 · Internal Medicine Physician · Prince George, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kadarnath S Boodram MD LLC is a Internal Medicine Physician organization in Prince George, VA (NPI 1093926552).
Provider details
- NPI number
- 1093926552
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sharon Boodram, Practice Manager(804) 526-7900
- License
- 0101229800 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- K.s. Boodram, MD PLLC
- Doing business as
- K.s. Boodram, MD PLLC
Additional practice locations (1)
- 601 Old Wagner RoadSuite 103Petersburg, VA 23805-9313Phone: (804) 526-7900Fax: (804) 526-7195
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2024-03-10
- Certified
- 2024-03-10
Frequently asked questions
- What is Kadarnath S Boodram MD LLC's NPI number?
- Kadarnath S Boodram MD LLC's National Provider Identifier (NPI) is 1093926552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kadarnath S Boodram MD LLC?
- Kadarnath S Boodram MD LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kadarnath S Boodram MD LLC located?
- Kadarnath S Boodram MD LLC's practice location on file with NPPES is 4300 Crossings Blvd Ste 101, Prince George, VA 23875-1452.
- What is Kadarnath S Boodram MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Kadarnath S Boodram MD LLC is (804) 526-7900.
- Does Kadarnath S Boodram MD LLC accept Medicare?
- Kadarnath S Boodram MD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kadarnath S Boodram MD LLC?
- The authorized official listed on Kadarnath S Boodram MD LLC's NPPES record is Sharon Boodram, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kadarnath S Boodram MD LLC's NPI active?
- Yes — Kadarnath S Boodram MD LLC's NPI (1093926552) is active in the NPPES registry as of the last update on 2024-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.