Organization Active NPI

Jyothi Gadde M.D., P.a.

  • Specialist
  • Warrenton, VA
National Provider Identifier
1174649362
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101056351 Issued in VA
Legal business name
JYOTHI GADDE M.D., P.A.
Practice address
493 Blackwell Rd Ste 305
Warrenton, VA 20186-2628
Phone
(540) 428-1715
Fax
(540) 428-1716
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Dr. Jyothi Gadde, M.D.NPI 1770501652
Title
Owner
Phone
(540) 428-1715

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101056351 VA Primary

Addresses

Primary practice location

493 Blackwell Rd Ste 305
Warrenton, VA 20186-2628

Mailing address

493 Blackwell Rd Ste 305
Warrenton, VA 20186-2628
Phone (540) 428-1715

Other identifiers 1

IdentifierTypeStateIssuer
7603436MedicaidVA

Other names 1

  • Allergy and Asthma Specialists of Greater Washington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000248 VA Part B Supplier - Clinic/Group Practice 5092765461 Receives reassigned benefits from 5 practitioners
Practice locations: Gainesville, VA; Warrenton, VA; Front Royal, VA; Culpeper, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

22850 Brambleton Plz
Brambleton, VA 20148

13901 Metrotech Dr
Unit B
Chantilly, VA 20151

13901 Metrotech Dr
Chantilly, VA 20151
Phone (540) 428-1715

124 Sycamore St
Culpeper, VA 22701
Phone (540) 428-1715

840 John Marshall Hwy
Ste A
Front Royal, VA 22630
Phone (540) 636-8332

7330 Heritage Village Plz
Gainesville, VA 20155

7330 Heritage Village Plz
Unit 102
Gainesville, VA 20155
Phone (540) 428-1715

493 Blackwell Rd
Ste 305
Warrenton, VA 20186
Phone (540) 341-1728

400C Hospital Dr
Warrenton, VA 20186
Phone (540) 341-7172

400 Hospital Dr
#C
Warrenton, VA 20186
Phone (540) 341-8745

Practitioners & affiliated clinicians

Practitioners 8

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1174649362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD STE 305",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862628",
            "telephone_number": "540-428-1715",
            "fax_number": "540-428-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD STE 305",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862628",
            "telephone_number": "540-428-1715",
            "fax_number": "540-428-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTHI GADDE M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "GADDE",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-428-1715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101056351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7603436",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Specialists of Greater Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.