Individual provider Active NPI

Ram Nimmagadda

  • Internal Medicine Physician
  • McLean, VA
National Provider Identifier
1396773859
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101046321 Issued in VA
Practice address
1515 Chain Bridge Rd
McLean, VA 22101
Phone
(703) 356-5400
Fax
(703) 356-0292
NPI assigned
Jun 30, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101046321 VA Primary
Gastroenterology Physician 207RG0100X 0101046321 VA

Addresses

Primary practice location

1515 Chain Bridge Rd
McLean, VA 22101

Mailing address

1515 Chain Bridge Rd
McLean, VA 22101
Phone (703) 356-5400

Other names 1

  • Ram Nimmagadda Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000544 DC Practitioner - Internal MedicinePractitioner - Gastroenterology 4082788286 Reassigns benefits to 1 organization
Practice locations: Falls Church, VA; McLean, VA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6862 Elm St
600 VHC Physician Group Primary Care
MC Lean, VA 22101-3862
Phone (703) 992-0649

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101046321VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Mar 3, 2025 Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Mar 3, 2025 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients
Ramalingeswara R. Nimmagadda PastSince Jan 1, 1990 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

6862 Elm St
Ste 500
Mc Lean, VA 22101
Phone (703) 992-0649

6862 Elm St
Ste 600
McLean, VA 22101
Phone (703) 992-0649

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1396773859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CHAIN BRIDGE RD",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-356-5400",
            "fax_number": "703-356-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CHAIN BRIDGE RD",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-356-5400",
            "fax_number": "703-356-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMAGADDA",
        "first_name": "RAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101046321",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101046321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAM",
            "last_name": "NIMMAGADDA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.