NPIMap

Individual provider Active NPI

Renuka Sothinathan, M.D.

  • Nephrology Physician
  • Fairfax, VA
National Provider Identifier
1225124779
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101232750 Issued in VA
Practice address
3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone
(703) 246-9246
Fax
(703) 246-9257
NPI assigned
Oct 4, 2006
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101232750 VA Primary

Addresses

Primary practice location

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738

Mailing address

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone (703) 246-9246

Other identifiers 18

IdentifierTypeStateIssuer
010084628MedicaidVA
010084679MedicaidVA
010184886MedicaidVA
005882842MedicaidVA
010084440MedicaidVA
010084539MedicaidVA
2319484OtherUNITED HEALTHCARE
4530480OtherCIGNA
010084792MedicaidVA
010084423MedicaidVA
010084610MedicaidVA
010084474MedicaidVA
010084482MedicaidVA
010084598MedicaidVA
47430005OtherCAREFIRST
010084512MedicaidVA
010084504MedicaidVA
010084814MedicaidVA

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
I20040211001213 DC Practitioner - Nephrology 0941194799 Reassigns benefits to 1 organization
I20120724000196 VA Practitioner - Nephrology 0941194799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Nephrology Group LLPGroup PAC ID 2062471857, 15 clinicians

Practice addresses (Care Compare)

14000 Crown CT
Suite 110
Woodbridge, VA 22193-1463
Phone (703) 680-3055

3930 Walnut St
Suite 101
Fairfax, VA 22030-4750
Phone (703) 246-9246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Quality
100
Promoting interoperability
79
Improvement activities
40
Cost
80.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Nephrology Group, LLP Nephrology CurrentSince Feb 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5150 Duke St
Alexandria, VA 22304
Phone (703) 246-9246

1635 N George Mason Dr
Ste 215
Arlington, VA 22205
Phone (703) 841-0707

13135 Route 50
Ste 145
Fairfax, VA 22033
Phone (703) 378-1360

3028 Javier Rd
Ste 500
Fairfax, VA 22031
Phone (703) 204-4538

3930 Walnut St
Ste 101
Fairfax, VA 22030
Phone (703) 246-9246

14000 Crown Ct
Ste 110
Woodbridge, VA 22193
Phone (703) 361-7341

2751 Killarney Dr
Woodbridge, VA 22192
Phone (703) 897-7027

Interoperability endpoints

  • Direct secure messaging: virginianephrology.rsothinathan@147473.advancedmd-direct.com

Organizations & group practices 2

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 11

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1225124779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTHINATHAN",
        "first_name": "RENUKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101232750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084628",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084679",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010184886",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005882842",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084440",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084539",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2319484",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4530480",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084792",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084423",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084610",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084474",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084482",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084598",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "47430005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084512",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084504",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084814",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.