Individual provider Active NPI

Neeharika Repaka, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Reston, VA
National Provider Identifier
1235427592
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101269601 Issued in VA
Practice address
1830 Town Center Dr Ste 306
Reston, VA 20190-3217
Phone
(571) 450-8300
Fax
(571) 450-8301
NPI assigned
Jul 20, 2011
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D83298 MD
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101269601 VA Primary

Addresses

Primary practice location

1830 Town Center Dr Ste 306
Reston, VA 20190-3217

Mailing address

1830 Town Center Dr Ste 306
Reston, VA 20190-3217
Phone (571) 450-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20170606001173 DC Practitioner - Endocrinology 8729377817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2009
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)

1830 Town Ctr Dr
Suite 306
Reston, VA 20190-3217
Phone (703) 777-6550

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D83298MDMDEndocrinology, Diabetes & Metabolism Physician
0101269601VAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Endocrinology, Diabetes & Metabolism CurrentSince Oct 23, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 23, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medical Associates of Central Virginia, Inc. Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

7501 Greenway Center Dr
Ste 730
Greenbelt, MD 20770
Phone (301) 474-0400

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

1830 Town Center Dr
Ste 306
Reston, VA 20190
Phone (703) 481-3550

Interoperability endpoints

  • Direct secure messaging: neeharika.repaka.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 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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1235427592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 306",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903217",
            "telephone_number": "571-450-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 306",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903217",
            "telephone_number": "571-450-8300",
            "fax_number": "571-450-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPAKA",
        "first_name": "NEEHARIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D83298",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101269601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.