Active NPI
Premier Cardiac and Vascular LLC
- Cardiovascular Disease Physician
- Fredericksburg, VA
National Provider Identifier
1366905523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PREMIER CARDIAC AND VASCULAR LLC
- Practice address
- 406 Chatham Square Office Park
Fredericksburg, VA 22405-2585 - Phone
- (540) 666-6181
- Fax
- (571) 318-9438
- NPI assigned
- Apr 12, 2019
- Last updated
- May 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anita Banerjee, MD
- Title
- Cardiologist
- Phone
- (917) 620-2718
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
406 Chatham Square Office Park
Fredericksburg, VA 22405-2585
Mailing address
406 Chatham Square Office Park
Fredericksburg, VA 22405-2585
Phone (540) 666-6181
Other practice location 1
609 Jefferson Davis Highway
Suite 201
Fredericksburg, VA 22401-4566
Phone (540) 666-6181
Other practice location 2
5411D Backlick Rd Ste 100
Springfield, VA 22151-3915
Phone (703) 563-1575
Other practice location 3
5105I Backlick Rd
Annandale, VA 22003-6065
Phone (703) 563-1575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
5105J Backlick Rd
Annandale, VA 22003
Phone (540) 645-5508
406 Chatham Square Office Park
Fredericksburg, VA 22405
Phone (540) 300-6182
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Clinical Cardiac Electrophysiology Physician
- Fredericksburg, VA
- NPI 1457416794
DC
-
- Family Nurse Practitioner
- Fredericksburg, VA
- NPI 1285127019
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1952090268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1366905523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 CHATHAM SQUARE OFFICE PARK",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224052585",
"telephone_number": "540-666-6181",
"fax_number": "571-318-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 CHATHAM SQUARE OFFICE PARK",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224052585",
"telephone_number": "540-666-6181",
"fax_number": "571-318-9438"
}
],
"practiceLocations": [
{
"address_1": "609 Jefferson Davis Highway",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014566",
"country_code": "US",
"telephone_number": "540-666-6181",
"fax_number": "571-318-9438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5411D Backlick Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "VA",
"postal_code": "221513915",
"country_code": "US",
"telephone_number": "703-563-1575",
"fax_number": "610-629-3991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5105I Backlick Rd",
"address_purpose": "LOCATION",
"city": "Annandale",
"state": "VA",
"postal_code": "220036065",
"country_code": "US",
"telephone_number": "703-563-1575",
"fax_number": "610-629-3991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREMIER CARDIAC AND VASCULAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-12",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "BANERJEE",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "CARDIOLOGIST",
"authorized_official_telephone_number": "917-620-2718",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Pratt Medical Center LTD (Pratt Healthcare Laboratory)
- Pratt Medical Center LTD (Pratt Healthcare)
- Pratt Medical Center,LTD (Pratt Healthcare Radiology)
- Alec Pratt, MS, CCC-SLP
- Preferred Pediatrics at Snowden
- Premier Eyecare, Angela Tsai, O.D. and Associates, P.C.
- Premier Physical Therapy
- Beena Jennifer Premkumar, M.D.
- Mark Pressler
- Prestige Health Homcare Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.