Individual provider Active NPI

Ravinderpal Singh, M.D,

  • Child & Adolescent Psychiatry Physician
  • Fairfax, VA
National Provider Identifier
1083959373
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101263315 Issued in VA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918002190 VA Order and Referring Only - PsychiatryPractitioner - Psychiatry 2264749563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101263315VAMDChild & Adolescent Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.