Individual provider Active NPI

Dhaka Gurung

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1043812407
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179063 Issued in VA
Practice address
5372 Fallowater LN Ste 200
Roanoke, VA 24018-0909
Phone
(216) 672-3100
Fax
(216) 362-0677
NPI assigned
Nov 11, 2020
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179063 VA Primary

Addresses

Primary practice location

5372 Fallowater LN Ste 200
Roanoke, VA 24018-0909

Mailing address

12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 672-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210305000011 VA Practitioner - Nurse Practitioner 1850707423 Reassigns benefits to 3 organizations
I20230215000065 DC Practitioner - Nurse Practitioner 1850707423 Reassigns benefits to 2 organizations
I20240130003291 MD Practitioner - Nurse Practitioner 1850707423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1916 Opitz Blvd
Woodbridge, VA 22191-3304
Phone (703) 214-9773

1952 Opitz Blvd
Woodbridge, VA 22191-3304
Phone (703) 494-7849

1958 Opitz Blvd
Woodbridge, VA 22191-3304
Phone (703) 494-1147

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
79.46
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179063VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 27, 2024 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Feb 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 27, 2024 Accepting new patients
Atlantic Healthcare Services LLC CurrentSince Mar 22, 2021 Accepting new patients
Optimize Medical Group CurrentSince Dec 23, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488

6106 Health Center Ln
Fredericksburg, VA 22407
Phone (540) 785-1103

8644 Sudley Rd
#220
Manassas, VA 20110

5372 Fallowater Ln
Ste 200
Roanoke, VA 24018
Phone (216) 672-3100

Interoperability endpoints

  • Direct secure messaging: dhaka.gurung.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1043812407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-672-3100",
            "fax_number": "216-362-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 FALLOWATER LN STE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180909",
            "telephone_number": "216-672-3100",
            "fax_number": "216-362-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURUNG",
        "first_name": "DHAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.