Individual provider Active NPI

Appaji Gondi, M.D.

  • Allergy & Immunology Physician
  • McLean, VA
National Provider Identifier
1174502132
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101240011 Issued in VA
Practice address
1420 Spring Hill Rd
Ste 350
MC Lean, VA 22102-3006
Phone
(703) 790-9722
Fax
(703) 893-8666
NPI assigned
Jan 10, 2006
Last updated
May 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101240011 VA Primary
Allergy & Immunology Physician 207K00000X MD036216 DC

Addresses

Primary practice location

1420 Spring Hill Rd
Ste 350
MC Lean, VA 22102-3006

Mailing address

1420 Spring Hill Rd
Ste 350
MC Lean, VA 22102-3006
Phone (703) 790-9722

Other identifiers 1

IdentifierTypeStateIssuer
1174502132MedicaidVA

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
I20070319000126 VA Practitioner - Allergy/Immunology 0648218503 Reassigns benefits to 1 organization
I20070326000526 DC Practitioner - Allergy/Immunology 0648218503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuill Black MD and Michael R Kletz MD PCGroup PAC ID 0749297919, 2 clinicians

Practice addresses (Care Compare)

2021 K St NW
Washington, DC 20006-1003
Phone (202) 466-4100

7818 Donegan Dr
Manassas, VA 20109-2869
Phone (703) 361-6424

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
100
Improvement activities
40
Cost
89.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036216DCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuill Black MD and Michael R Kletz MD PC Allergy & Immunology CurrentSince Jul 1, 2006 Accepting new patients
Asthma Allergy Clinic of Quad Cities, S.C Allergy & Immunology Past Accepting new patients

Locations

2021 K St NW
Ste 524
Washington, DC 20006
Phone (202) 466-4100

7818 Donegan Dr
Manassas, VA 20109
Phone (703) 361-6424

1420 Spring Hill Rd
Ste 350
McLean, VA 22102
Phone (703) 790-0886

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1174502132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SPRING HILL RD",
            "address_2": "STE 350",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023006",
            "telephone_number": "703-790-9722",
            "fax_number": "703-893-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SPRING HILL RD",
            "address_2": "STE 350",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023006",
            "telephone_number": "703-790-9722",
            "fax_number": "703-893-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDI",
        "first_name": "APPAJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101240011",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DC",
            "license": "MD036216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174502132",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.