Individual provider Active NPI

Nika Jani, M.D.

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1194995605
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101246283 Issued in VA
Practice address
13895 Hedgewood Dr
Suite 101
Woodbridge, VA 22193-7924
Phone
(571) 308-8530
NPI assigned
Mar 11, 2008
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PA
Internal Medicine Physician 207R00000X 0101246283 VA Primary

Addresses

Primary practice location

13895 Hedgewood Dr
Suite 101
Woodbridge, VA 22193-7924

Mailing address

5790 Ladues End CT
Fairfax, VA 22030-4629
Phone (571) 308-8530

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
I20100127000706 VA Practitioner - Internal Medicine 6901948058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13895 Hedgewood Dr
Suite 101
Woodbridge, VA 22193-7925
Phone (703) 649-3803

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince May 19, 2020 Accepting new patients
One Care Medical Internal Medicine CurrentSince Feb 1, 2010 Accepting new patients
Primedoc of Manassas PC Internal Medicine Past Accepting new patients
Fair Oaks Hospitalist Physicians, PLLC PastSince May 7, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

863 Glenrock Rd
Ste 100
Norfolk, VA 23502
Phone (757) 252-2765

13895 Hedgewood Dr
Ste 101
Woodbridge, VA 22193
Phone (571) 308-8530

Organizations & group practices 6

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 1

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1194995605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 LADUES END CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304629",
            "telephone_number": "571-308-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13895 HEDGEWOOD DR",
            "address_2": "SUITE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937924",
            "telephone_number": "571-308-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANI",
        "first_name": "NIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.