Individual provider Active NPI

Neeraja Thathagari, M.D.

  • Internal Medicine Physician
  • South Riding, VA
National Provider Identifier
1104987049
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101237990 Issued in VA
Practice address
43130 Amberwood PLZ Ste 240
South Riding, VA 20152-4110
Phone
(703) 961-1119
Fax
(703) 961-1159
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101237990 VA Primary

Addresses

Primary practice location

43130 Amberwood PLZ Ste 240
South Riding, VA 20152-4110

Mailing address

Nova Medical Services, PLLC
P.O.Box 734
Centreville, VA 20122
Phone (703) 961-1119

Other practice location 1

4229 Lafayette Center Dr Ste 1425
NOVA Medical Services, PLLC
Chantilly, VA 20151-1269
Phone (703) 961-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050623000945 DC Practitioner - HospitalistPractitioner - Internal Medicine 3870538481 Reassigns benefits to 2 organizations
I20171004000458 VA Practitioner - Internal Medicine 3870538481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 961-1119

43130 Amberwood PLZ
Suite 240
South Riding, VA 20152-4110
Phone (703) 961-1119

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101237990VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services,PLLC CurrentSince Mar 1, 2007 Accepting new patients
Inova Health Care Services CurrentSince Jul 12, 2017 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Jul 10, 2017 Accepting new patients
Inova Health Care Services CurrentSince Jul 10, 2017 Accepting new patients
Medical Associates of Northern VA Inc Past Accepting new patients

Locations

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

4229 Lafayette Center Dr
Ste 1425
Chantilly, VA 20151
Phone (703) 961-1119

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2990 Telestar Ct
Ste 3UC
Falls Church, VA 22042

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

43130 Amberwood Plz
Ste 240
South Riding, VA 20152
Phone (703) 961-1119

Interoperability endpoints

  • Direct secure messaging: nthathagari26325@soc.inova.org

Organizations & group practices 5

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 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1104987049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NOVA MEDICAL SERVICES, PLLC",
            "address_2": "P.O.BOX 734",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20122",
            "telephone_number": "703-961-1119",
            "fax_number": "703-961-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43130 AMBERWOOD PLZ STE 240",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201524110",
            "telephone_number": "703-961-1119",
            "fax_number": "703-961-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4229 Lafayette Center Dr Ste 1425",
            "address_2": "NOVA Medical Services, PLLC",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511269",
            "country_code": "US",
            "telephone_number": "703-961-1119",
            "fax_number": "703-961-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THATHAGARI",
        "first_name": "NEERAJA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

Verify at the official NPI Registry.