Organization Active NPI

Nova Pain Clinic Inc

  • Pain Medicine (Anesthesiology) Physician
  • Alexandria, VA
National Provider Identifier
1043403504
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0101230999 Issued in VA
Legal business name
NOVA PAIN CLINIC INC
Practice address
6151 Fuller CT
Alexandria, VA 22310-2541
Phone
(703) 347-9770
Fax
(703) 347-9251
NPI assigned
Aug 19, 2007
Last updated
Jun 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Rakesh R Bhatt, MD
Title
President
Phone
(703) 922-0415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101230999 VA Primary

Addresses

Primary practice location

6151 Fuller CT
Alexandria, VA 22310-2541

Mailing address

6081 Deer Ridge TRL
Springfield, VA 22150-1046
Phone (703) 922-0415

Other identifiers 1

IdentifierTypeStateIssuer
10016541MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1043403504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 DEER RIDGE TRL",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501046",
            "telephone_number": "703-922-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102541",
            "telephone_number": "703-347-9770",
            "fax_number": "703-347-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PAIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-19",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-922-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101230999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10016541",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 7, 2010; 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.