Individual provider Active NPI

Sanjeev Madanlal Wasan, MD

  • Gastroenterology Physician
  • Lansdowne, VA
National Provider Identifier
1093813990
Registry record updated Aug 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101237806 Issued in VA
Practice address
19420 Golf Vista PLZ Ste 230
Lansdowne, VA 20176-8267
Phone
(703) 724-4480
Fax
(703) 724-7743
NPI assigned
Sep 21, 2006
Last updated
Aug 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101237806 VA Primary

Addresses

Primary practice location

19420 Golf Vista PLZ Ste 230
Lansdowne, VA 20176-8267

Mailing address

19420 Golf Vista PLZ
Ste 230
Lansdowne, VA 20176-8267
Phone (703) 724-4480

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
I20050827000061 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 1951332154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19420 Golf Vista PLZ
Suite 230
Lansdowne, VA 20176-8267
Phone (703) 724-4480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy123
Upper gastrointestinal (GI) endoscopy for acid reflux66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjeev M. Wasan, M.D., PLC CurrentSince Feb 1, 2008 Accepting new patients
Gastroenterology Associates PLLC Gastroenterology PastSince Aug 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

19420 Golf Vista Plz
Ste 230
Leesburg, VA 20176
Phone (703) 297-5993

46090 Lake Center Plz
Ste 201
Sterling, VA 20165
Phone (703) 444-6544

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566691200000",
    "number": "1093813990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ",
            "address_2": "STE 230",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768267",
            "telephone_number": "703-724-4480",
            "fax_number": "703-724-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ STE 230",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768267",
            "telephone_number": "703-724-4480",
            "fax_number": "703-724-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASAN",
        "first_name": "SANJEEV",
        "middle_name": "MADANLAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101237806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.