Reliant MD Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101254080 Issued in VA

Legal business name

RELIANT MD GROUP LLC

Practice address

19450 Deerfield Ave Ste 325
Leesburg, VA 20176-8503

Phone

(703) 994-6655

Fax

(571) 291-2752

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Suman Manchireddy, MDNPI 1164676037

Title

Owner/Medical Director

Phone

(703) 994-6655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

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

• Suman Manchireddy, MD

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1164676037
  Medicare reassignment NPD Authorized official
• Radha Gayatri Agepati, M.D

  • Psychiatry Physician
  • Ashburn, VA
  • NPI 1659532794
  NPD (past)

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1154810901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN. LORI GRIMM",
            "address_2": "20349 MEDALIST DRIVE",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-994-6655",
            "fax_number": "571-291-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 325",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768503",
            "telephone_number": "703-994-6655",
            "fax_number": "571-291-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT MD GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "MANCHIREDDY",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-994-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah L Regan, MD
• Marna Kay Regehr, FNP
• Tabassum Rehman, MSW, LCSW
• Timothy Reinaldo, MD
• Relationship Center of Loudoun
• Renmax Transport LLC
• Linda Christine Renner, DDS
• Douglas Rennert, M.D.
• Anna Rentsch
• Reston Hospital Center, LLC

• Internal Medicine Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.