Organization Active NPI

Blackroute LLC

  • Durable Medical Equipment & Medical Supplies
  • Reston, VA
National Provider Identifier
1164348124
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BLACKROUTE LLC
Practice address
11500 Commerce Park Dr Apt 324
Reston, VA 20191-1173
Phone
(442) 442-0544
NPI assigned
Jun 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Rehman Khan
Title
Manager
Phone
(442) 442-0544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11500 Commerce Park Dr Apt 324
Reston, VA 20191-1173

Mailing address

11500 Commerce Park Dr Apt 324
Reston, VA 20191-1173

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1164348124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 COMMERCE PARK DR APT 324",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 COMMERCE PARK DR APT 324",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911173",
            "telephone_number": "442-442-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKROUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "REHMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "442-442-0544"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.