Individual provider Active NPI

Sadikshya Giri

  • Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1215523014
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024180065 Issued in VA
Practice address
8640 Sudley Rd Ste 203
Manassas, VA 20110-4404
Phone
(703) 368-3161
Fax
(703) 368-2498
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024180065 VA
Nurse Practitioner 363L00000X 0024180065 VA Primary

Addresses

Primary practice location

8640 Sudley Rd Ste 203
Manassas, VA 20110-4404

Mailing address

PO Box 936952
Atlanta, GA 31193-6952

Other practice location 1

1062 Elden St
Herndon, VA 20170-3803
Phone (866) 389-2727

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330001088 VA Practitioner - Nurse Practitioner 4486061223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Uva Community Health Medical Group LLCGroup PAC ID 4688587967, 339 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

8640 Sudley Rd
Suite 203
Manassas, VA 20110-4404
Phone (703) 368-3161

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

10322 Bristow Center Dr
Bristow, VA 20136
Phone (571) 284-4230

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8640 Sudley Rd
Ste 203
Manassas, VA 20110
Phone (703) 368-3161

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 2

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1215523014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936952",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD STE 203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104404",
            "telephone_number": "703-368-3161",
            "fax_number": "703-368-2498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1062 Elden St",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201703803",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRI",
        "first_name": "SADIKSHYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180065",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.