Organization Active NPI

Total Health Medical Center Inc

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1326237132
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101231864 Issued in VA
Legal business name
TOTAL HEALTH MEDICAL CENTER INC
Practice address
3930 Pender Dr
Suite 110
Fairfax, VA 22030-0985
Phone
(703) 352-4194
Fax
(703) 352-5811
NPI assigned
Oct 17, 2007
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Shabnam Sachdeva, M.D.NPI 1598786717
Title
Ceo
Phone
(703) 352-4194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101231864 VA Primary

Addresses

Primary practice location

3930 Pender Dr
Suite 110
Fairfax, VA 22030-0985

Mailing address

3930 Pender Dr
Suite 110
Fairfax, VA 22030-0985
Phone (703) 352-4194

Other identifiers 1

IdentifierTypeStateIssuer
1598786717MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071105000228 DC Part B Supplier - Clinic/Group Practice 4880781046 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA; Sterling, VA
O20080721000729 VA Part B Supplier - Clinic/Group Practice 4880781046 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2191775Total Health Medical Center, Inc3930 Pender Drive Suite 110, Fairfax, VA 22030Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

46169 Westlake Dr
Ste 230
Sterling, VA 20165
Phone (703) 352-4194

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1326237132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300985",
            "telephone_number": "703-352-4194",
            "fax_number": "703-352-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300985",
            "telephone_number": "703-352-4194",
            "fax_number": "703-352-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "SACHDEVA",
        "authorized_official_first_name": "SHABNAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-352-4194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101231864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598786717",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.