Individual provider Active NPI

Sanjeev Kohli, MD

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1164446167
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101-056380 Issued in VA
Practice address
2200 Opitz Blvd Ste 335
Woodbridge, VA 22191-3340
Phone
(703) 492-6726
Fax
(703) 492-2400
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101-056380 VA Primary

Addresses

Primary practice location

2200 Opitz Blvd Ste 335
Woodbridge, VA 22191-3340

Mailing address

2200 Opitz Blvd Ste 335
Woodbridge, VA 22191-3340
Phone (703) 492-6726

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20081030000584 VA Practitioner - Internal Medicine 4284793647 Reassigns benefits to 2 organizations
I20121017000777 DC Practitioner - Internal MedicinePractitioner - Allergy/ImmunologyPractitioner - Sleep Medicine 4284793647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanjeev Kohli, MD PCGroup PAC ID 4587824644, 3 clinicians

Practice addresses (Care Compare)

2200 Opitz Blvd
Suite 335
Woodbridge, VA 22191-3340
Phone (571) 261-9877

4660 Kenmore Ave
Suite 900
Alexandria, VA 22304-1383
Phone (571) 261-9877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-056380VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjeev Kohli, MD PC Internal Medicine Current Accepting new patients
Commonwealth Sleep Center, LLC CurrentSince Jun 1, 2008 Accepting new patients
Sanjeev Kohli, MD PC Internal Medicine CurrentSince Feb 15, 2012 Accepting new patients

Locations

4216 King St
Alexandria, VA 22302
Phone (703) 820-7000

8101 Hinson Farm Rd
Ste 318
Alexandria, VA 22306
Phone (571) 261-9877

4660 Kenmore Ave
Ste 900
Alexandria, VA 22304
Phone (703) 212-0700

7001 Heritage Village Plz
Gainesville, VA 20155
Phone (571) 261-9877

7001 Heritage Village Plz
Ste 120
Gainesville, VA 20155
Phone (571) 261-9877

2200 Opitz Blvd
Ste 335
Woodbridge, VA 22191
Phone (517) 261-9877

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBGBAA/Endpoint/GBGBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGGBA/Endpoint/GGGGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGGBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1164446167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD STE 335",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913340",
            "telephone_number": "703-492-6726",
            "fax_number": "703-492-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD STE 335",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913340",
            "telephone_number": "703-492-6726",
            "fax_number": "703-492-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101-056380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.