Active NPI
Ravinderpal Singh, M.D,
- Child & Adolescent Psychiatry Physician
- Fairfax, VA
National Provider Identifier
1083959373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101263315
- Practice address
- 11204 Waples Mill Rd
Fairfax, VA 22030-6036 - Phone
- (703) 218-8500
- Fax
- (703) 359-0463
- NPI assigned
- Nov 28, 2012
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116027871 | VA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0116027871 | VA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101263315 | VA | Primary |
Addresses
Primary practice location
11204 Waples Mill Rd
Fairfax, VA 22030-6036
Mailing address
11204 Waples Mill Rd
Fairfax, VA 22030-6036
Phone (703) 218-8500
Other practice location 1
1250 E Marshall St
Dept PSY: Child & Adolescent (VTCC) POB 980489
Richmond, VA 23298-0489
Phone (808) 828-4371
Other practice location 2
11928 Washington St
Fairfax, VA 22030-5741
Phone (408) 464-5855
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsingh328360@soc.inova.org | Health Information Exchange (HIE) | Inova Kellar Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150918002190 | VA | Order and Referring Only - Psychiatry | 2264749563 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101263315 | VA | MD | Child & Adolescent Psychiatry Physician |
Interoperability endpoints
- rsingh328360@soc.inova.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1083959373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11204 WAPLES MILL RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306036",
"telephone_number": "703-218-8500",
"fax_number": "703-359-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11204 WAPLES MILL RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306036",
"telephone_number": "703-218-8500",
"fax_number": "703-359-0463"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_2": "Dept PSY: Child & Adolescent (VTCC) POB 980489",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232980489",
"country_code": "US",
"telephone_number": "808-828-4371",
"fax_number": "804-827-3731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11928 Washington St",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220305741",
"country_code": "US",
"telephone_number": "408-464-5855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGH",
"first_name": "RAVINDERPAL",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-28",
"last_updated": "2023-11-27",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116027871",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0116027871",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101263315",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rsingh328360@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Kellar Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "11204 Waples Mill Rd",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220306036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.