OrganizationActive
Southside Kidney Specialists
NPI 1508201385 · Nephrology Physician · Petersburg, VA
Provider details
- NPI number
- 1508201385
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southside Kidney Specialists
- Organization subpart
- Yes
- Authorized official
- Vijaya Chirumamilla, Owner(804) 733-6960
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3400 S Crater Rd
Ste #b
Petersburg, VA 23805-9252
Phone: (804) 733-6960
Fax: (804) 733-3880
Street-level locationGet directions
Mailing address
201 E. Ferrell St
South Hill, VA 23970-2202
Registry dates
- Enumerated
- 2013-05-07
- Last updated
- 2013-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.