Bhumi Amin
Individual provider Active NPI Family Nurse Practitioner · Manassas, VA
NPI 1043040710 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1043040710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024190425 (VA)
- Practice address
- 8640 Sudley Rd Ste 302
Manassas, VA 20110-4404 - Phone
- (703) 369-5959
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uva Community Health Medical Group LLC
Practice addresses (Care Compare)
8640 Sudley Rd
Suite 302
Manassas, VA 20110-4404
Phone (703) 369-5959
Hospital & facility affiliations
- Uva Health Prince William Medical Center
- Uva Health Haymarket Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250414001946 | VA | Practitioner - Nurse Practitioner | 3072037829 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024190425 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uva Community Health Medical Group, LLC | Current |
Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current |
Accepting new patients | |
| Uva Community Health Medical Group, LLC | Past | Accepting new patients | |
| George Mason University | Past |
Accepting new patients |
Locations
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
15195 Heathcote Blvd
Ste 338
Haymarket, VA 20169
Phone (571) 261-3270
8640 Sudley Rd
Ste 302
Manassas, VA 20110
Phone (703) 369-5959
380 Hospital Dr
Warrenton, VA 20186
Phone (540) 347-9898
493 Blackwell Rd
Ste 118
Warrenton, VA 20186
Phone (540) 347-9898
Interoperability endpoints
- bamin647904@direct.healthsystem.virginia.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024190425 | VA | Yes |
Addresses
Primary practice location
8640 Sudley Rd Ste 302
Manassas, VA 20110-4404
Mailing address
8640 Sudley Rd Ste 302
Manassas, VA 20110-4404
Other providers in Manassas, VA
- Shruti K Ambegaonkar
- America'S Best Contacts & Eyeglasses
- American Center for Health Care
- American Chiropractic Clinic, PLLC
- Americas Home Health Care Inc
- Amity Health Inc
- Amore Care at Greenview Lane
- Amrit Home Healthcare, LLC
- Ams Transportation Services, LLC
- Jonathan Robert Amy
All providers in Manassas, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.