Individual provider Active NPI

Popel Chan Manev, FNP

  • Family Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1073314506
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191265 Issued in VA
Practice address
2305 N Parham Rd Ste 201
Henrico, VA 23229-3156
Phone
(804) 716-8123
Fax
(804) 716-8129
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 0024191265 VA Primary

Addresses

Primary practice location

2305 N Parham Rd Ste 201
Henrico, VA 23229-3156

Mailing address

11606 Bent Pine Rd
Glen Allen, VA 23059-4603
Phone (804) 497-9683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251210003717 DC Practitioner - Nurse Practitioner 0547783433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4001 Fair Ridge Dr
Suite 203
Fairfax, VA 22033-2917
Phone (877) 448-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024191265VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Mar 24, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Mar 24, 2025 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

901 McClintock Dr
Ste 201
Burr Ridge, IL 60527
Phone (630) 654-4201

6510 Kenilworth Ave
Ste 1400
Riverdale, MD 20737
Phone (301) 779-0095

5249 Duke St
Ste 410
Alexandria, VA 22304
Phone (703) 212-4825

20925 Professional Plz
Ste 310
Ashburn, VA 20147
Phone (703) 687-4127

4001 Fair Ridge Dr
Ste 203
Fairfax, VA 22033
Phone (703) 865-7680

2305 N Parham Rd
Ste 201
Henrico, VA 23229
Phone (804) 716-8123

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1073314506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 BENT PINE RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594603",
            "telephone_number": "804-497-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 N PARHAM RD STE 201",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232293156",
            "telephone_number": "804-716-8123",
            "fax_number": "804-716-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEV",
        "first_name": "POPEL",
        "middle_name": "CHAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.