Organization Active NPI

Premier Health Consultants of Northern Virginia Inc

  • Internal Medicine Physician
  • Reston, VA
National Provider Identifier
1164030458
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER HEALTH CONSULTANTS OF NORTHERN VIRGINIA INC
Practice address
1800 Town Center Dr Ste 313
Reston, VA 20190-3239
Phone
(703) 662-3359
Fax
(703) 997-2627
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Dr. Kavita Namjoshi, MDNPI 1508840380
Title
Owner
Phone
(775) 848-8287

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

1800 Town Center Dr Ste 313
Reston, VA 20190-3239

Mailing address

21882 Hyde Park Dr
Ashburn, VA 20147-6911

Other identifiers 1

IdentifierTypeStateIssuer
6087248MedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.micromdcloud.com/vpn/index.html
Other URL https://www.micromdcloud.com/vpn/index.html

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201013000022 DC Part B Supplier - Clinic/Group Practice 3577983642 Receives reassigned benefits from 2 practitioners
Practice locations: Reston, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2339836Premier Health Consultants1800 Town Center Dr, Suite 313, Reston, VA 20190Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

1830 Town Center Dr
Ste 313
Reston, VA 20190

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1164030458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21882 HYDE PARK DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 313",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903239",
            "telephone_number": "703-662-3359",
            "fax_number": "703-997-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CONSULTANTS OF NORTHERN VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "NAMJOSHI",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-848-8287",
        "authorized_official_name_prefix": "Dr.",
        "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": "6087248",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.micromdcloud.com/vpn/index.html",
            "affiliation": "N",
            "address_1": "1850 Town Center Pkwy",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.micromdcloud.com/vpn/index.html",
            "affiliation": "N",
            "address_1": "1860 Town Center Dr Ste 260",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201905899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.