Active NPI
Sameera Nasser Rentia, M.D.
- Pediatric Adolescent Medicine Physician
- Falls Church, VA
National Provider Identifier
1043203557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 0101057789
- Practice address
- 5651 Columbia Pike
Falls Church, VA 22041-2867 - Phone
- (703) 933-0740
- Fax
- (703) 933-0744
- NPI assigned
- Aug 30, 2005
- Reactivated
- Mar 30, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 0101057789 | VA | Primary |
Addresses
Primary practice location
5651 Columbia Pike
Falls Church, VA 22041-2867
Mailing address
5651 Columbia Pike
Falls Church, VA 22041-2867
Phone (703) 933-0740
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899686 | Other | VA | MAMSI |
| 245309 | Other | VA | BC/BS VA |
| F6790001 | Other | DC | BC/BS DC |
| 487964 | Other | VA | NCPPO |
| 6734928 | Medicaid | VA | |
| 5947752 | Other | VA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101057789 | VA | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043203557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5651 COLUMBIA PIKE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220412867",
"telephone_number": "703-933-0740",
"fax_number": "703-933-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 COLUMBIA PIKE",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220412867",
"telephone_number": "703-933-0740",
"fax_number": "703-933-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTIA",
"first_name": "SAMEERA",
"middle_name": "NASSER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2007-07-09",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "VA",
"license": "0101057789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "899686",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS VA",
"identifier": "245309",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS DC",
"identifier": "F6790001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "487964",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6734928",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5947752",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.