Individual provider Active NPI

Andrew Shedden Neviaser, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • MC Lean, VA
National Provider Identifier
1376700773
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
0101271638 Issued in VA
Practice address
1760 Old Meadow Road
Suite 500
MC Lean, VA 22102-4306
Phone
(703) 810-5217
Fax
(614) 293-2053
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD039789 DC
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 35131849 OH
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 0101271638 VA Primary

Addresses

Primary practice location

1760 Old Meadow Road
Suite 500
MC Lean, VA 22102-4306

Mailing address

PO Box 715868
Philadelphia, PA 19171-5868
Phone (804) 915-4067

Other identifiers 1

IdentifierTypeStateIssuer
0229682MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aneviaser548459@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110929000243 DC Practitioner - Orthopedic Surgery 4688845332 Reassigns benefits to 1 organization
I20170713002211 OH Practitioner - Orthopedic Surgery 4688845332

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

6354 Walker Lane
Suite 300
Alexandria, VA 22310-3252
Phone (703) 810-5210

8270 Willow Oaks Corp Dr
Suite 700
Fairfax, VA 22031-4529
Phone (703) 810-5228

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD039789DCMDAdult Reconstructive Orthopaedic Surgery Physician
35131849OHMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc. Current Accepting new patients
Orthovirginia, Inc CurrentSince Aug 8, 2022 Accepting new patients
Orthovirginia, Inc CurrentSince Aug 8, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Orthovirginia, Inc. Past Accepting new patients

Locations

1920 Ballenger Ave
Ste 200
Alexandria, VA 22314
Phone (703) 810-5209

6355 Walker Ln
Ste 202
Alexandria, VA 22310
Phone (703) 810-5210

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

8270 Willow Oaks Corporate Dr
Ste 700
Fairfax, VA 22031
Phone (703) 810-5218

1760 Old Meadow Rd
Ste 500
McLean, VA 22102
Phone (703) 437-8195

8320 Old Courthouse Rd
Ste 100
Vienna, VA 22182
Phone (703) 810-5213

Interoperability endpoints

  • Direct secure messaging: aneviaser35127@direct.orthovirginia.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1376700773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-4067",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 OLD MEADOW ROAD",
            "address_2": "SUITE 500",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024306",
            "telephone_number": "703-810-5217",
            "fax_number": "614-293-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVIASER",
        "first_name": "ANDREW",
        "middle_name": "SHEDDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "DC",
            "license": "MD039789",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "35131849",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "VA",
            "license": "0101271638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229682",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aneviaser548459@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "2835 Fred Taylor Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432021552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.