Active NPI
Sandeep Kaur, PA
- Medical Physician Assistant
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110009500
- Practice address
- 9404A Main St
Fairfax, VA 22031-4032 - Phone
- (571) 404-6974
- NPI assigned
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110009500 | VA | Primary |
Addresses
Primary practice location
9404A Main St
Fairfax, VA 22031-4032
Mailing address
9404-A Main Street
Fairfax, VA 22031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30017688630001 | Medicaid | VA | |
| 0110009500 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- San Juan Bautista School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11670 Sudley Manor Dr
Manassas, VA 20109-2842
Phone (571) 569-3526
1488 Northpoint VLG Ctr
Inova Ghlth Ucc Rest
Reston, VA 20194-1190
Phone (571) 525-5850
180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300
2118 S Pleasant Valley Rd
Suite 38
Winchester, VA 22601-7003
Phone (540) 545-9999
2415 Centreville Rd
Suite B6
Herndon, VA 20171-3029
Phone (571) 376-4000
24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500
42010 Village Ctr PLZ
Suite 100
Aldie, VA 20105-3036
43135 Broadlands Ctr PLZ
Suite 123
Broadlands, VA 20148-3804
Phone (571) 206-0742
6201 Centreville Rd
Suite 200
Centreville, VA 20121-2626
Phone (571) 549-8577
6206 Rolling Rd
Springfield, VA 22152-2306
Phone (571) 889-3235
9404 A Main St
Fairfax, VA 22031-4032
Phone 47027679312302
9427 Lorton Market St
Lorton, VA 22079-1963
Phone (571) 336-7614
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.6 of 100
- Quality
- 84.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- skaur1440586@soc.inova.org
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1093590168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9404-A MAIN STREET",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9404A MAIN ST",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314032",
"telephone_number": "571-404-6974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "SANDEEP",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110009500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30017688630001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110009500",
"state": "VA"
}
],
"endpoints": [],
"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 5, 2024; 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.