Individual provider Active NPI

Vivek P Sinha, MD

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1104929462
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101255878 Issued in VA
Practice address
113 S West St
Suite 204
Alexandria, VA 22314-2858
Phone
(703) 348-5603
Fax
(703) 348-5603
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0066720 MD
Family Medicine Physician 207Q00000X 0101255878 VA Primary
Family Medicine Physician 207Q00000X MD042074 DC

Addresses

Primary practice location

113 S West St
Suite 204
Alexandria, VA 22314-2858

Mailing address

3714 Ivanhoe LN
Alexandria, VA 22310-2156
Phone (516) 810-4662

Other identifiers 6

IdentifierTypeStateIssuer
1174568091OtherMDGROUP NPI - FORT WASHINGTON FAMILY MEDICAL CENTER
92408001-KR10MEOtherMDBCBS MARYLAND FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
B776-0033OtherDCBCBS NCA FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
036114462OtherILIL STATE LICENSE #
1851473722OtherMDGROUP NPI - MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
D0066720OtherMDMD LICENSE

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
I20240828004811 VA Order and Referring Only - Family PracticePractitioner - Family Practice 1456359538

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

  • Goodwin House Palliative Care and Hospice Hospice, Falls Church, VA, CCN 491553
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042074DCMDFamily Medicine Physician
0101255878VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Surgical Clinics of Southern Maryland Inc Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vivek.sinha@30700437176324.direct.elationemr.com

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.

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1104929462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 IVANHOE LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102156",
            "telephone_number": "516-810-4662",
            "fax_number": "703-348-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S WEST ST",
            "address_2": "SUITE 204",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142858",
            "telephone_number": "703-348-5603",
            "fax_number": "703-348-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINHA",
        "first_name": "VIVEK",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0066720",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101255878",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD042074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - FORT WASHINGTON FAMILY MEDICAL CENTER",
            "identifier": "1174568091",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARYLAND FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "92408001-KR10ME",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCA  FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "B776-0033",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE #",
            "identifier": "036114462",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND",
            "identifier": "1851473722",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "D0066720",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.