Organization Active NPI

Asclepeion Primary Care, Inc

  • Primary Care Clinic/Center
  • Stafford, VA
National Provider Identifier
1124388830
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ASCLEPEION PRIMARY CARE, INC
Practice address
556 Garrisonville Rd
Suite 204
Stafford, VA 22554-7826
Phone
(540) 720-5500
NPI assigned
May 29, 2012
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Monsurul H Khan, M.D.NPI 1831185586
Title
Director
Phone
(540) 720-5500

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

556 Garrisonville Rd
Suite 204
Stafford, VA 22554-7826

Mailing address

180 Queen Anne Dr
Fredericksburg, VA 22406-4653

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000471 VA Part B Supplier - Clinic/Group Practice 9638334931 Receives reassigned benefits from 1 practitioner
Practice locations: Stafford, VA

National Provider Directory

National Provider Directory

Locations

556 Garrisonville Rd
Ste 204
Stafford, VA 22554
Phone (540) 720-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1124388830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 QUEEN ANNE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224064653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 GARRISONVILLE RD",
            "address_2": "SUITE 204",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547826",
            "telephone_number": "540-720-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCLEPEION PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MONSURUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-720-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.