Organization Active NPI

Seva Medical Group LLC

  • Specialist
  • Chantilly, VA
National Provider Identifier
1366872285
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SEVA MEDICAL GROUP LLC
Doing business as
Saheli OBGYN
Practice address
24805 Pinebrook Rd
Suite 101
Chantilly, VA 20152-4126
Phone
(571) 367-2261
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Mr. Anil Gupta
Title
President
Phone
(832) 969-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

24805 Pinebrook Rd
Suite 101
Chantilly, VA 20152-4126

Mailing address

11490 Commerce Park Dr
Suite 525
Reston, VA 20191-1557
Phone (571) 367-2261

Other names 1

  • Saheli OBGYN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150219001079 VA Part B Supplier - Clinic/Group Practice 9133444995 Receives reassigned benefits from 1 practitioner
Practice locations: Chantilly, 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
49D2071605Seva Medical Group, LLC Dba Saheli OBGYN24805 Pinebrook Road #101, Chantilly, VA 20152Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Locations

24805 Pinebrook Rd
Ste 101
Chantilly, VA 20152
Phone (571) 267-2261

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1366872285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 COMMERCE PARK DR",
            "address_2": "SUITE 525",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911557",
            "telephone_number": "571-367-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24805 PINEBROOK RD",
            "address_2": "SUITE 101",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524126",
            "telephone_number": "571-367-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-969-7775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saheli OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.