Individual provider Active NPI

Anita Nanda Wasan, M.D.

  • Allergy & Immunology Physician
  • Lansdowne, VA
National Provider Identifier
1093897597
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101237864 Issued in VA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114001336 DC Practitioner - Allergy/Immunology 2264465020 Reassigns benefits to 1 organization

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
Anita N Wasan MD PLCGroup PAC ID 2163455924, 2 clinicians

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

LicenseStateTypeSpecialty
0101237864VAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.