NPIMap

Organization Active NPI

Optum Palliative and Hospice Care

  • Chronic Disease Hospital
  • Reston, VA
National Provider Identifier
1073984142
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
0024172999 Issued in VA
Legal business name
OPTUM PALLIATIVE AND HOSPICE CARE
Practice address
12018 Sunrise Valley Dr
Suite 400
Reston, VA 20191-3432
Phone
(571) 262-5700
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. Thomas Sullivan, MD
Title
Medical Director
Phone
(571) 262-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 0024172999 VA Primary

Addresses

Primary practice location

12018 Sunrise Valley Dr
Suite 400
Reston, VA 20191-3432

Mailing address

12018 Sunrise Valley Dr
Suite 400
Reston, VA 20191-3432
Phone (571) 262-5700

National Provider Directory

National Provider Directory
Tax ID family
Evercare Hospice Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12018 Sunrise Valley Dr
Ste 400
Reston, VA 20191
Phone (571) 262-5200

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1073984142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12018 SUNRISE VALLEY DR",
            "address_2": "SUITE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913432",
            "telephone_number": "571-262-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12018 SUNRISE VALLEY DR",
            "address_2": "SUITE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913432",
            "telephone_number": "571-262-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "571-262-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "VA",
            "license": "0024172999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.