Active NPI
Primary Care Doctors Group,PC
- Internal Medicine Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRIMARY CARE DOCTORS GROUP,PC
- Practice address
- 2616 Sherwood Hall LN
Suite 303
Alexandria, VA 22306-3100 - Phone
- (703) 799-1118
- Fax
- (703) 799-1586
- NPI assigned
- Apr 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bejjenki S Chary, MD
- Title
- President
- Phone
- (202) 291-3122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2616 Sherwood Hall LN
Suite 303
Alexandria, VA 22306-3100
Mailing address
2616 Sherwood Hall LN
Suite 303
Alexandria, VA 22306-3100
Phone (703) 799-1118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023831200 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1028600 | Primary Care Doctors Group | Certificate of waiver | Jul 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
106 Irving St NW
Ste 309
Washington, DC 20010
Phone (202) 291-3122
106 Irving St NW
Ste 412
Washington, DC 20010
Phone (202) 291-3122
2616 Sherwood Hall Ln
Ste 303
Alexandria, VA 22306
Phone (202) 223-8600
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311465600000",
"number": "1083839211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 SHERWOOD HALL LN",
"address_2": "SUITE 303",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063100",
"telephone_number": "703-799-1118",
"fax_number": "703-799-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 SHERWOOD HALL LN",
"address_2": "SUITE 303",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063100",
"telephone_number": "703-799-1118",
"fax_number": "703-799-1586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE DOCTORS GROUP,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-14",
"last_updated": "2011-07-24",
"status": "A",
"authorized_official_last_name": "CHARY",
"authorized_official_first_name": "BEJJENKI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-291-3122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023831200",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.