Organization Active NPI

Sanjeev M. Wasan, M.D., PLC

  • Specialist
  • Potomac Falls, VA
National Provider Identifier
1114198033
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101237806 Issued in VA
Legal business name
SANJEEV M. WASAN, M.D., PLC
Doing business as
Gastroenterology and Hepatology Center
Practice address
46090 Lake Center PLZ
Suite 201
Potomac Falls, VA 20165-5876
Phone
(703) 444-9502
Fax
(703) 444-9521
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Sanjeev M. Wasan, M.D.NPI 1093813990
Title
Owner
Phone
(703) 444-9502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101237806 VA Primary

Addresses

Primary practice location

46090 Lake Center PLZ
Suite 201
Potomac Falls, VA 20165-5876

Mailing address

46090 Lake Center PLZ
Suite 201
Potomac Falls, VA 20165-5876
Phone (703) 444-9502

Other names 1

  • Gastroenterology and Hepatology Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081215000283 VA Part B Supplier - Clinic/Group Practice 3870667876 Receives reassigned benefits from 1 practitioner
Practice locations: Lansdowne, VA

National Provider Directory

National Provider Directory

Locations

19420 Golf Vista Plz
Lansdowne, VA 20176

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1114198033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ",
            "address_2": "SUITE 201",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655876",
            "telephone_number": "703-444-9502",
            "fax_number": "703-444-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ",
            "address_2": "SUITE 201",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655876",
            "telephone_number": "703-444-9502",
            "fax_number": "703-444-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEV M. WASAN, M.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "WASAN",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-444-9502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101237806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology and Hepatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Potomac Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.