Organization Active NPI

Sanjeev Kohli, MD PC

Doing business as Beauregard Medical Center

  • General Practice Physician
  • Alexandria, VA
National Provider Identifier
1023381506
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SANJEEV KOHLI, MD PC
Doing business as
Beauregard Medical Center
Practice address
3450 N Beauregard St
Suite 1
Alexandria, VA 22302-1200
Phone
(703) 820-7000
Fax
(703) 820-5564
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Sanjeev Kohli, M.D.NPI 1164446167
Title
Owner
Phone
(703) 820-7000

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

3450 N Beauregard St
Suite 1
Alexandria, VA 22302-1200

Mailing address

3450 N Beauregard St
Suite 1
Alexandria, VA 22302-1200
Phone (703) 820-7000

Other names 1

  • Beauregard Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beauregard Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3450 N Beauregard St
Ste 1
Alexandria, VA 22302
Phone (703) 820-7000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1023381506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N BEAUREGARD ST",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021200",
            "telephone_number": "703-820-7000",
            "fax_number": "703-820-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 N BEAUREGARD ST",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021200",
            "telephone_number": "703-820-7000",
            "fax_number": "703-820-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEV KOHLI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-820-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauregard Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.