Individual provider Active NPI

Sujata H. Ambardar, M.D.

  • Infectious Disease Physician
  • Annandale, VA
National Provider Identifier
1194778027
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101053019 Issued in VA
Practice address
3289 Woodburn Rd
Suite # 200
Annandale, VA 22003-6800
Phone
(703) 560-7900
Fax
(703) 560-8408
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101053019 VA Primary

Addresses

Primary practice location

3289 Woodburn Rd
Suite # 200
Annandale, VA 22003-6800

Mailing address

3289 Woodburn Rd
Suite # 200
Annandale, VA 22003-6800
Phone (703) 560-7900

Other identifiers 1

IdentifierTypeStateIssuer
5852544MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20070614000711 DC Practitioner - Infectious Disease 3971601964 Reassigns benefits to 1 organization
I20171031002545 VA Practitioner - Infectious DiseasePractitioner - Internal Medicine 3971601964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Diseases Physicians, Inc.Group PAC ID 9537267513, 13 clinicians

Practice addresses (Care Compare)

3289 Woodburn Rd
Suite 200
Annandale, VA 22003-7347
Phone (703) 560-7900

46531 Harry Byrd Hwy
Sterling, VA 20164-3555
Phone (703) 834-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
53.56
Promoting interoperability
99
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101053019VAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Physicians, Inc Infectious Disease CurrentSince Feb 1, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3289 Woodburn Rd
Annandale, VA 22003
Phone (703) 226-2640

3289 Woodburn Rd
Ste 200
Annandale, VA 22003
Phone (703) 560-7900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJIGCA

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.

Hospital & facility affiliations 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1194778027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE # 200",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "703-560-7900",
            "fax_number": "703-560-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE # 200",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "703-560-7900",
            "fax_number": "703-560-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBARDAR",
        "first_name": "SUJATA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101053019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5852544",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.