NPIMap

Organization Active NPI

Virginia Nephrology Group, LLP

  • Nephrology Physician
  • Fairfax, VA
National Provider Identifier
1013001601
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
VIRGINIA NEPHROLOGY GROUP, LLP
Practice address
3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone
(703) 246-9246
Fax
(703) 246-9257
NPI assigned
Oct 3, 2006
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Renuka Sothinathan, M.D.NPI 1225124779
Title
Managing Partner
Phone
(703) 246-9246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738

Mailing address

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone (703) 246-9246

Other identifiers 1

IdentifierTypeStateIssuer
4743OtherCAREFIRST

Other names 1

  • Drs Bazaz and Cheriyan, Partnership Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041007000398 DC Part B Supplier - Clinic/Group Practice 2062471857 Receives reassigned benefits from 16 practitioners
Practice locations: Alexandria, VA; Fairfax, VA; Arlington, VA
O20120724000018 VA Part B Supplier - Clinic/Group Practice 2062471857 Receives reassigned benefits from 18 practitioners
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

1635 N George Mason Dr
#7600
Arlington, VA 22205

1635 N George Mason Dr
Ste 215
Arlington, VA 22205
Phone (703) 841-0707

1635 N George Mason Dr
Ste 215A
Arlington, VA 22205

3028 Javier Rd
Ste 500
Fairfax, VA 22031
Phone (703) 204-4538

8520 Cinder Bed Rd
Ste 100
Lorton, VA 22079
Phone (703) 339-6050

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1013001601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA NEPHROLOGY GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "SOTHINATHAN",
        "authorized_official_first_name": "RENUKA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-246-9246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "4743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Bazaz and Cheriyan, Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Drs Bazaz and Cheriyan, Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.