Organization Active NPI

Atrium Healthcare Group LLC

  • Internal Medicine Physician
  • Annandale, VA
National Provider Identifier
1396450607
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATRIUM HEALTHCARE GROUP LLC
Practice address
7501 Little River Tpke Ste 303
Annandale, VA 22003-2923
Phone
(703) 256-4141
NPI assigned
Jan 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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

Authorized official

Name
Kate Sedghi
Title
Practice Administrator
Phone
(703) 256-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7501 Little River Tpke Ste 303
Annandale, VA 22003-2923

Mailing address

7501 Little River Turnpike Ste#303
Annandale, VA 22003-3547
Phone (703) 256-4141

Other names 1

  • Atrium Healthcare Group LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622000327 DC Part B Supplier - Clinic/Group Practice 0244698330 Receives reassigned benefits from 1 practitioner
Practice locations: Annandale, VA

National Provider Directory

National Provider Directory

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": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690675200000",
    "number": "1396450607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LITTLE RIVER TURNPIKE STE#303",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033547",
            "telephone_number": "703-256-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LITTLE RIVER TPKE STE 303",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032923",
            "telephone_number": "703-256-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "SEDGHI",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-256-4141"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Healthcare Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Atrium Healthcare Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2023; 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.

Verify at the official NPI Registry.