Individual provider Active NPI

Sushil Dewa Sims, DC

  • Chiropractor
  • Annandale, VA
National Provider Identifier
1326107210
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556040 Issued in VA
Practice address
7010 Little River Tpke
Suite 430
Annandale, VA 22003-3241
Phone
(703) 354-2225
Fax
(703) 354-6119
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556040 VA Primary

Addresses

Primary practice location

7010 Little River Tpke
Suite 430
Annandale, VA 22003-3241

Mailing address

7010 Little River Tpke
Suite 430
Annandale, VA 22003-3241
Phone (703) 354-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000200 DC Practitioner - Chiropractic 0446219000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7010 Little River Tpke
Suite 430
Annandale, VA 22003-3241
Phone (703) 354-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556040VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Onehealth Inc Chiropractor CurrentSince Jun 29, 2014 Accepting new patients
Multi Discipline Alternative Care Center, LTD Chiropractor PastSince Sep 1, 2012 Accepting new patients

Locations

7010 Little River Tpke
Ste 430
Annandale, VA 22003
Phone (703) 354-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1326107210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 LITTLE RIVER TPKE",
            "address_2": "SUITE 430",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033241",
            "telephone_number": "703-354-2225",
            "fax_number": "703-354-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 LITTLE RIVER TPKE",
            "address_2": "SUITE 430",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033241",
            "telephone_number": "703-354-2225",
            "fax_number": "703-354-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "SUSHIL",
        "middle_name": "DEWA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.