Payal Dharia
Individual provider Active NPI Family Nurse Practitioner · Fairfax, VA
NPI 1083377196 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1083377196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024182979 (VA)
- Practice address
- 8260 Willow Oaks Corporate Dr
Fairfax, VA 22031-4513 - Phone
- (703) 776-2000
- NPI assigned
- Oct 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230125002114 | DC | Practitioner - Nurse Practitioner | 0648641878 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041441899 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current |
Accepting new patients | |
| Inova Health Care Services | Current |
Accepting new patients |
Locations
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
8260 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (571) 472-4670
13135 Route 50
Ste 201
Fairfax, VA 22033
Phone (703) 391-0900
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- pdharia1113355@soc.inova.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041441899 | IL | |
| Family Nurse Practitioner | 363LF0000X | 0024182979 | VA | Yes |
Addresses
Primary practice location
8260 Willow Oaks Corporate Dr
Fairfax, VA 22031-4513
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
13135 Lee Jackson Memorial Hwy Ste 201
Fairfax, VA 22033-1907
Phone (703) 391-0900
Other practice location 2
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pdharia1113355@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Other providers in Fairfax, VA
- Caroline Faith Dewerd
- Dewitt Army Community Hospital
- David M Dewitte
- Aditi Kirpal Dham
- Jugal Dharia
- Sharon Dheureux
- Namisha Kaur Dhillon
- Tajinder Dhillon
- Geetha Dhinakaran
- Legkey Dhonden
All providers in Fairfax, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.