Individual provider Active NPI

Hemanjani Gonchigar, M.D.

  • Psychiatry Physician
  • Vienna, VA
National Provider Identifier
1043232945
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101055113 Issued in VA
Practice address
2235 Cedar LN Ste 302
Vienna, VA 22182-5247
Phone
(703) 889-5406
Fax
(703) 430-9785
NPI assigned
Jul 23, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0001566 MD
Psychiatry Physician 2084P0800X D0051666 MD
Psychiatry Physician 2084P0800X 0101055113 VA Primary

Addresses

Primary practice location

2235 Cedar LN Ste 302
Vienna, VA 22182-5247

Mailing address

44121 Lessburg Pike
Ste 250
Ashburn, VA 20147-5674
Phone (301) 983-6490

Other identifiers 1

IdentifierTypeStateIssuer
663910100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311000697 DC Practitioner - Psychiatry 3779509252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0001566MDMDPsychiatry Physician
D0051666MDMDPsychiatry Physician
0101055113VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1043232945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44121 LESSBURG PIKE",
            "address_2": "STE 250",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475674",
            "telephone_number": "301-983-6490",
            "fax_number": "301-983-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN STE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825247",
            "telephone_number": "703-889-5406",
            "fax_number": "703-430-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCHIGAR",
        "first_name": "HEMANJANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0001566",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0051666",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101055113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "663910100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.