Active NPI
Atrium Healthcare Group LLC
- Internal Medicine Physician
- Annandale, VA
National Provider Identifier
1396450607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.