Individual provider Active NPI

Ameeta Ashok Kumar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Manassas, VA
National Provider Identifier
1174191555
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101288216 Issued in VA
Practice address
10686 Crestwood Dr Ste a
Manassas, VA 20109-4407
Phone
(703) 214-9773
NPI assigned
Jun 14, 2021
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101288216 VA Primary

Addresses

Primary practice location

10686 Crestwood Dr Ste a
Manassas, VA 20109-4407

Mailing address

10686 Crestwood Dr Ste a
Manassas, VA 20109-4407
Phone (703) 214-9773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240613003807 VA Order and Referring Only - EndocrinologyPractitioner - Internal MedicinePractitioner - Endocrinology 2769925114

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1174191555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10686 CRESTWOOD DR STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094407",
            "telephone_number": "703-214-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10686 CRESTWOOD DR STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094407",
            "telephone_number": "703-214-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "AMEETA",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101288216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.