Active NPI
Nihil C Theodore, M.D.
- Family Medicine Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101238129
- Practice address
- 8700 Sudley Rd
Manassas, VA 20110-4418 - Phone
- (703) 396-5292
- Fax
- (703) 396-5297
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101238129 | VA | Primary |
Addresses
Primary practice location
8700 Sudley Rd
Manassas, VA 20110-4418
Mailing address
PO Box 748613
Atlanta, GA 30384-8613
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10171679 | Medicaid | VA | |
| 179071 | Other | VA | ANTHEM BC/BS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ntheodore306859@direct.novanthealth.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Tufts University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5292
Hospital & facility affiliations
- Uva Health Prince William Medical Center
- Uva Health Haymarket Medical Center
- University of Virginia Medical Center
- Uva Health Culpeper Medical Center
- Inova Fairfax Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMG Affiliate Practice I, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients |
Locations
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
812 W Stuart Dr
Galax, VA 24333
Phone (276) 238-3318
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8691 Stonewall Rd
Manassas, VA 20110
Phone (703) 368-1182
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Interoperability endpoints
- ntheodore306859@direct.novanthealth.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
- Pediatrics Physician
- Gainesville, VA
- NPI 1386113835
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Culpeper, VA
- NPI 1669538047
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1326049008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748613",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104418",
"telephone_number": "703-396-5292",
"fax_number": "703-396-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEODORE",
"first_name": "NIHIL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101238129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10171679",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "179071",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ntheodore306859@direct.novanthealth.org",
"affiliation": "N",
"address_1": "8700 Sudley Rd",
"city": "Manassas",
"state": "VA",
"country_code": "US",
"postal_code": "201104418",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manassas, VA
- The Hearing Health Care Center of Manassas, Inc.
- The Lovejoy Group, LLC
- The Many Pieces of Me Serenity Center PLLC
- The Nelson Dental Practice PC
- The Retina Group of Washington, PLLC
- Therapeutic Alliance LLC
- Therapeutic Alliance LLC
- Alan Paul Theriault, RPH
- Gia Thi, LCSW
- Thien C. Van & Associates, OD, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.