Active NPI
Jyothi Gadde MD PA
Doing business as Allergy and Asthma Specialists of Greater Washington
- Specialist
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101056351
- 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, 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
- Jyothi Gadde, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007603436 | Medicaid | VA |
Other names 1
- Allergy and Asthma Specialists of Greater Washington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Allergy and Asthma Specialists of Greater Washington
- Specialist
- Warrenton, VA
- NPI 1174649362
5092765461
National Provider Directory
National Provider DirectoryLocations
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.
-
- Allergy & Immunology (Internal Medicine) Physician
- Warrenton, VA
- NPI 1184850281
DC
-
- Allergy & Immunology Physician
- Fairfax, VA
- NPI 1699756841
-
- Physician Assistant
- Warrenton, VA
- NPI 1154493658
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.