Nova Dialysis Woodbine

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NOVA DIALYSIS WOODBINE

Practice address

2729 King St
Alexandria, VA 22302-4008

Phone

(301) 577-1007

Fax

(301) 577-1006

NPI assigned

Jun 12, 2024

Last updated

Jul 8, 2024By 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

Minessia Z Pearson, CFO

Title

Cfo

Phone

(301) 577-1007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

NOVA Dialysis WoodbineCCN 492748

Ownership

Profit

Certified

Apr 7, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

9

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Aysha Farooqi, MD

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1760493175

  Dialysis facility

  Care Compare affiliation Name & address match
• Irmindra S Rana, MD

  • Nephrology Physician
  • Arlington, VA
  • NPI 1033130794

  Dialysis facility

  Care Compare affiliation Name & address match
• V. Bala Subramanian, M.D.

  • Nephrology Physician
  • Alexandria, VA
  • NPI 1629021530

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1316789027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 ANNAPOLIS RD STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063121",
            "telephone_number": "301-577-1007",
            "fax_number": "301-577-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024008",
            "telephone_number": "301-577-1007",
            "fax_number": "301-577-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DIALYSIS WOODBINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MINESSIA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-577-1007",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordayn Norwood
• Saba Noureen
• Nova Addiction Specialists LLLC
• Nova Anesthesia Providers LLC
• Nova Back Doctor PPLC
• Nova Elderly Home Care (Visiting Angels)
• Nova Elderly Home Care LLC (Visiting Angels)
• Nova Eye Care Center, LLC
• Nova Eye Physicians & Surgeons
• Nova Foot & Ankle Center, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.