Ashutosh B Diwan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101229792 Issued in VA

Practice address

493 Blackwell Rd
Suite 202
Warrenton, VA 20186-2639

Phone

(540) 347-4400

Fax

(540) 341-4766

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS, 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

Specialty

Family Practice

Education

Eastern Virginia Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Uva Community Health Medical Group LLCGroup PAC ID 4688587967, 339 clinicians

Mid America Pain Clinic LLCGroup PAC ID 7012316870, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fauquier Hospital Hospital, Warrenton, VA, CCN 490023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adiwan645362@direct.healthsystem.virginia.edu
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: ashutosh.diwan@3858.securemail.prognocis.com

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.

• Uva Community Health Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Charlottesville, VA
  • NPI 1598475741
  Medicare reassignment Care Compare group NPD
• Mid America Pain Clinic LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Overland Park, KS
  • NPI 1699362822
  Medicare reassignment Care Compare group NPD
• Piedmont Family Practice, PLC

  • Specialist
  • Warrenton, VA
  • NPI 1811107097
  Medicare reassignment NPD
• Uva Community Health Medical Group, LLC

  • Family Medicine Physician
  • Manassas, VA
  • NPI 1366744039
  NPD (past)
• Menorah Family Physicians LLC

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1205871555
  NPD (past)
• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  NPD (past)
• Shawnee Mission Medical Center, Inc.

  • Urgent Care Clinic/Center
  • Shawnee, KS
  • NPI 1942317854

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fauquier Medical Center LLC

  • General Acute Care Hospital
  • Warrenton, VA
  • NPI 1912334517
  Care Compare affiliation

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1144214958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748613",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848613",
            "telephone_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD",
            "address_2": "SUITE 202",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862639",
            "telephone_number": "540-347-4400",
            "fax_number": "540-341-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8350 State Route 30",
            "address_purpose": "LOCATION",
            "city": "Dittmer",
            "state": "MO",
            "postal_code": "630231909",
            "country_code": "US",
            "telephone_number": "636-707-2097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIWAN",
        "first_name": "ASHUTOSH",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MO",
            "license": "2023001690",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101229792",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0429558",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100450570 D",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adiwan645362@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "493 Blackwell Rd",
            "address_2": "Suite 202",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201862639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arianna Delerme, PSY.D
• Kimberly Demarcus, RN
• Rahul Dewan, MD
• Rosemary Digiacomo, CRNA
• Carie L Dinneen, MA, CCC-SLP
• DMV Urgent Care LLC
• Shivani Doctor, P.A.
• Dominion Eye Care, P.C.
• Kelly Domson, MD
• Melinda Jo Donnelly, DC

• Family Medicine Physician in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.