NPIMap

Individual provider Active NPI

Dan B Bishwakarma, M.D.

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1184891665
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101243193 Issued in VA
Practice address
12581 Milstead Way
Suite 103
Woodbridge, VA 22192
Phone
(703) 897-5890
Fax
(703) 897-5897
NPI assigned
May 13, 2008
Last updated
Sep 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101243193 VA Primary

Addresses

Primary practice location

12581 Milstead Way
Suite 103
Woodbridge, VA 22192

Mailing address

12581 Milstead Way
Suite 103
Woodbridge, VA 22192-5445
Phone (703) 897-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080930000170 DC Practitioner - Family Practice 8921175142 Reassigns benefits to 1 organization
I20120925000743 VA Practitioner - Family Practice 8921175142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101243193VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Virginia Urgent Care LLC CurrentSince Jul 14, 2012 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

8101 Hinson Farm Rd
Ste 209
Alexandria, VA 22306
Phone (703) 746-8408

7432 Little River Tpke
Annandale, VA 22003
Phone (703) 658-7060

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

Interoperability endpoints

  • Direct secure messaging: dan.bishwakarma.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1184891665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12581 MILSTEAD WAY",
            "address_2": "SUITE 103",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925445",
            "telephone_number": "703-897-5890",
            "fax_number": "703-897-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12581 MILSTEAD WAY",
            "address_2": "SUITE 103",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-897-5890",
            "fax_number": "703-897-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHWAKARMA",
        "first_name": "DAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.