Active NPI
Rosy Gautam
- Family Nurse Practitioner
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024180585
- Practice address
- 2901 Telestar CT Ste 200
Falls Church, VA 22042-1262 - Phone
- (703) 573-3494
- Fax
- (703) 573-5353
- NPI assigned
- Nov 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0024180585 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024180585 | VA | Primary |
Addresses
Primary practice location
2901 Telestar CT Ste 200
Falls Church, VA 22042-1262
Mailing address
6760 Joseph Edgar CT
Alexandria, VA 22310-2667
Phone (703) 217-4382
Other practice location 1
6760 Joseph Edgar Ct
Alexandria, VA 22310-2667
Phone (703) 217-4382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024180585 | Other | VA | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rosy.pahade@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024180585 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Internal Medicine | Current | Accepting new patients |
| My29Care | Current | Accepting new patients |
Locations
2901 Telestar Ct
Ste 200
Falls Church, VA 22042
Phone (703) 573-3494
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Interoperability endpoints
- rgautam1115194@soc.inova.org
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Alexandria, VA
- NPI 1467231050
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1376209742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6760 JOSEPH EDGAR CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102667",
"telephone_number": "703-217-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 TELESTAR CT STE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421262",
"telephone_number": "703-573-3494",
"fax_number": "703-573-5353"
}
],
"practiceLocations": [
{
"address_1": "6760 Joseph Edgar Ct",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223102667",
"country_code": "US",
"telephone_number": "703-217-4382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUTAM",
"first_name": "ROSY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0024180585",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024180585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0024180585",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rosy.pahade@gmail.com",
"affiliation": "N",
"endpointDescription": "encrypted email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6760 Joseph Edgar Ct",
"city": "Alexandria",
"state": "VA",
"country_code": "US",
"postal_code": "223102667",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.