Organization Active NPI

Jyothi Gadde MD PA

Doing business as Allergy and Asthma Specialists of Greater Washington

  • Specialist
  • Fairfax, VA
National Provider Identifier
1053582478
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101056351 Issued in VA
Legal business name
JYOTHI GADDE MD PA
Doing business as
Allergy and Asthma Specialists of Greater Washington
Practice address
3700 Joseph Siewick Dr
Ste 304
Fairfax, VA 22033-1744
Phone
(703) 648-0015
Fax
(703) 648-0047
NPI assigned
Mar 13, 2008
Last updated
Jul 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Jyothi Gadde, MDNPI 1770501652
Title
Owner
Phone
(540) 428-1715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101056351 VA Primary

Addresses

Primary practice location

3700 Joseph Siewick Dr
Ste 304
Fairfax, VA 22033-1744

Mailing address

493 Blackwell Road
Ste 305
Warrenton, VA 20186-2628
Phone (540) 428-1715

Other identifiers 1

IdentifierTypeStateIssuer
007603436MedicaidVA

Other names 1

  • Allergy and Asthma Specialists of Greater Washington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000171 DC Part B Supplier - Clinic/Group Practice 5092765461 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfax, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

124 Sycamore St
Culpeper, VA 22701
Phone (540) 428-1715

13135 Lee Jackson Hwy
Ste 110
Fairfax, VA 22033
Phone (703) 436-1010

7330 Heritage Village Plz
Unit 102
Gainesville, VA 20155
Phone (540) 428-1715

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1053582478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL ROAD",
            "address_2": "STE 305",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862628",
            "telephone_number": "540-428-1715",
            "fax_number": "540-428-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR",
            "address_2": "STE 304",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331744",
            "telephone_number": "703-648-0015",
            "fax_number": "703-648-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTHI GADDE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "GADDE",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-428-1715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101056351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007603436",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Specialists of Greater Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.