Active NPI
Anita Nanda Wasan, M.D.
- Allergy & Immunology Physician
- Lansdowne, VA
National Provider Identifier
1093897597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 0101237864
- Practice address
- 19450 Deerfield Ave
Suite 335
Lansdowne, VA 20176-6820 - Phone
- (703) 729-8933
- Fax
- (703) 729-5996
- NPI assigned
- Oct 20, 2006
- Last updated
- Sep 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 0101237864 | VA | Primary |
Addresses
Primary practice location
19450 Deerfield Ave
Suite 335
Lansdowne, VA 20176-6820
Mailing address
8115 Old Dominion Dr
Ste 220
MC Lean, VA 22102-2324
Phone (703) 992-7065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of South Alabama College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6824 Elm St
Suite 120
MC Lean, VA 22101-3866
Phone (703) 992-7065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237864 | VA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474675200000",
"number": "1093897597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8115 OLD DOMINION DR",
"address_2": "STE 220",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221022324",
"telephone_number": "703-992-7065",
"fax_number": "703-992-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19450 DEERFIELD AVE",
"address_2": "SUITE 335",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201766820",
"telephone_number": "703-729-8933",
"fax_number": "703-729-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASAN",
"first_name": "ANITA",
"middle_name": "NANDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2016-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "VA",
"license": "0101237864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, VA
- Virginia Head and Neck Surgeons PC
- Alexis Jacqueline Vogl, PA-C
- W. Townes Lea, DDS, PC
- Wael M. Elosta PLLC (Lansdowne cosmetic and implant dentistry)
- Carolyn M Walsh, MD
- Sanjeev Madanlal Wasan, MD
- William Wells, RN
- Jeffrey Derrick White, M.D.
- Amanda Willging, ATC, OTC
- Alice Cheney Wilson, AU.D., ABA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; 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.