Progressive Medical Associates, LLC.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0101227771 Issued in VA

Legal business name

PROGRESSIVE MEDICAL ASSOCIATES, LLC.

Doing business as

Progressive Medical Associates, LLC.

Practice address

2841 Hartland Rd Ste 405
Falls Church, VA 22043-3500

Phone

(703) 876-6131

Fax

(703) 876-6009

NPI assigned

May 3, 2006

Last updated

Dec 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Namrata Prasad

Title

Office Administrator

Phone

(703) 876-6131

Specialties & licenses 2

Addresses

Other names 1

• Progressive Medical Associates, LLC. Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr.Carpousis,M.D,LTD

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1194491407

  O20081009000415

  Same enrollment

Tax ID family

Drcarpousismdltd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Progressive Medical Associates, LLC.

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1750925541
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1245298744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 HARTLAND RD STE 405",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433500",
            "telephone_number": "703-876-6131",
            "fax_number": "703-876-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 HARTLAND RD STE 405",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433500",
            "telephone_number": "703-876-6131",
            "fax_number": "703-876-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Columbia Pike",
            "address_2": "Suite 131",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222044547",
            "country_code": "US",
            "telephone_number": "703-979-1997",
            "fax_number": "703-979-8258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "NAMRATA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-876-6131"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0101034067",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0101227771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Medical Associates, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.