Active NPI
Nova Pain Clinic Inc
- Pain Medicine (Anesthesiology) Physician
- Alexandria, VA
National Provider Identifier
1043403504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 0101230999
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10016541 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI 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
- Nova Eye Care Center, LLC
- Nova Eye Physicians & Surgeons
- Nova Foot & Ankle Center, LLC
- Nova Gynecology Associates LLC
- Nova Neuro Rehab PLLC
- Nova Pediatric Therapy, PLLC
- Nova Portable Xray LLC
- Nova Psychotherapy and Assessment
- Nova Sports and Spine Physical Therapy (Nova Sports and Spine Rehab)
- Nova Surgery LLC
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.