Individual provider Active NPI

Anita Banerjee, MD

  • Cardiovascular Disease Physician
  • Springfield, VA
National Provider Identifier
1073630273
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101249855 Issued in VA
Practice address
5514 Alma LN
Ste 200
Springfield, VA 22151-4014
Phone
(703) 563-1575
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101249855 VA Primary

Addresses

Primary practice location

5514 Alma LN
Ste 200
Springfield, VA 22151-4014

Mailing address

5514 Alma LN
Ste 200
Springfield, VA 22151-4014
Phone (703) 563-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111017000571 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769582576 Reassigns benefits to 2 organizations
I20190710001886 DC Practitioner - Cardiovascular Disease (Cardiology) 2769582576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Cardiac and Vascular LLCGroup PAC ID 2365777547, 4 clinicians

Practice addresses (Care Compare)

3687 Fettler Park Dr
Dumfries, VA 22025-2049
Phone (540) 666-6181

406 Chatham Square Office Park
Fredericksburg, VA 22405-2585

5105 I Backlick Rd
Annandale, VA 22003-6065
Phone (540) 645-5508

5514 Alma LN
Suite 200
Springfield, VA 22151-4014

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital, Inc. Cardiovascular Disease Current Accepting new patients
Northeast Cardiology Associates Cardiovascular Disease Past Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: dr.banerjee@pcavl-va.direct.office.nextgen.com

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.

Hospital & facility affiliations 3

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1073630273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 ALMA LN",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514014",
            "telephone_number": "703-563-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 ALMA LN",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514014",
            "telephone_number": "703-563-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "ANITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101249855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.