Organization Active NPI

Norvinia Health PC

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1134714173
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORVINIA HEALTH PC
Practice address
10805 Main St Ste 200
Fairfax, VA 22030-4729
Phone
(309) 363-0997
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Mamta Ojha, MDNPI 1215220389
Title
Ceo
Phone
(703) 651-5910

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10805 Main St Ste 200
Fairfax, VA 22030-4729

Mailing address

10805 Main St Ste 200
Fairfax, VA 22030-4729
Phone (703) 651-5910

Other identifiers 1

IdentifierTypeStateIssuer
1134714173MedicaidVA

Other names 1

  • Internal Medicine Direct primary Care Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210308001958 VA Part B Supplier - Clinic/Group Practice 1456767938 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, VA
O20250714000885 DC Part B Supplier - Clinic/Group Practice 1456767938 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

44081 Pipeline Plz
Ashburn, VA 20147
Phone (571) 223-2229

10805 Main St
Ste 300
Fairfax, VA 22030

10805 Main St
Ste 200
Fairfax, VA 22030
Phone (309) 363-0997

Practitioners & affiliated clinicians

Practitioners 1

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": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1134714173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 MAIN ST STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304729",
            "telephone_number": "703-651-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 MAIN ST STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304729",
            "telephone_number": "309-363-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORVINIA HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "OJHA",
        "authorized_official_first_name": "MAMTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-651-5910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134714173",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Direct primary Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.