Ivan Racadag, AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024173957 Issued in VA

Practice address

20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905

Phone

(551) 295-8223

NPI assigned

May 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health (Reston) Home health agency, Reston, VA, CCN 497485
• Bayada Home Health Care Inc Home health agency, Falls Church, VA, CCN 497730
• Carevana Home Health Inc Home health agency, Maclean, VA, CCN 497778
• Goodwin Home Health Home health agency, Falls Church, VA, CCN 497662
• Care With Love, LLC Home health agency, Fairfax, VA, CCN 497762
• Ennoble Hospice VA, LLC Hospice, Arlington, VA, CCN 491664

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ennoble HC DMV LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fulton, MD
  • NPI 1104492115

  DC, VA

  Medicare reassignment Care Compare group NPD
• Ennoble HC DMV II LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1134002900

  DC, VA

  Medicare reassignment NPD
• Ennoble HC DMV III LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1922981695

  DC, VA

  Medicare reassignment NPD
• Vitas Healthcare Corporation Atlantic

  • Community Based Hospice Care Agency
  • Fairfax, VA
  • NPI 1063523132
  NPD (past)
• Vitas Solutions Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miramar, FL
  • NPI 1861666497
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Falls Church, VA
  • NPI 1528435781
  Care Compare affiliation
• Care With Love, LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1588152623
  Care Compare affiliation
• Caresouth HHA Holdings of Richmond, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Reston, VA
  • NPI 1639373715
  Care Compare affiliation
• Carevana Home Health Inc.

  • Home Health Agency
  • McLean, VA
  • NPI 1609425792
  Care Compare affiliation
• Ennoble Hospice VA LLC

  dba Ennoble Care

  • Community Based Hospice Care Agency
  • Arlington, VA
  • NPI 1518672880
  Care Compare affiliation
• Goodwin House Home and Community Based Services

  dba Goodwin Home Health

  • Home Health Agency
  • Falls Church, VA
  • NPI 1356673313
  Care Compare affiliation

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1083062392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016211",
            "telephone_number": "551-295-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 LAKEVIEW CENTER PLZ STE 400",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475905",
            "telephone_number": "551-295-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Spring Hill Rd",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221827510",
            "country_code": "US",
            "telephone_number": "571-599-5643",
            "fax_number": "703-270-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 V St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200021329",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACADAG",
        "first_name": "IVAN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001230039",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024173957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Megan Purcell, OTR/L
• Simran Puri
• Stephanie Pylypko, M.D., M.S.
• Wasim Qureshi, DDS
• Prashanthi Raavi
• Michelle Rad, LCP, PSYD, MA
• Zaiby Rafiq
• Maliha Rahman, PHARMD
• Kelcie Noelani Raines, MS, BCBA, LBA
• Alexandra Rainsdon

• Adult Health Nurse Practitioner in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.