Individual provider Active NPI

Priya Chaddah, PA

  • Nephrology Physician
  • Manassas, VA
National Provider Identifier
1407480643
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0110008101 Issued in VA
Practice address
9378 Forestwood LN Ste E
Manassas, VA 20110-4742
Phone
(703) 361-7341
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA0613558 PA
Nephrology Physician 207RN0300X 0110008101 VA Primary

Addresses

Primary practice location

9378 Forestwood LN Ste E
Manassas, VA 20110-4742

Mailing address

9378 Forestwood LN Ste E
Manassas, VA 20110-4742
Phone (703) 361-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112000994 VA Practitioner - Physician Assistant 3577952563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Specialists, PLLC 7 clinicians

Practice addresses (Care Compare)

14000 Crown CT
Suite 110
Woodbridge, VA 22193-1463
Phone (703) 361-7341

7001 Heritage Village PLZ
Suite 150
Gainesville, VA 20155-3096
Phone (703) 361-7341

9378 Forestwood LN
Suite E
Manassas, VA 20110-4742
Phone (703) 361-7341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA0613558PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: pchaddah34394@direct.acumenmd.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1407480643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742",
            "telephone_number": "703-361-7341",
            "fax_number": "703-368-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742",
            "telephone_number": "703-361-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDAH",
        "first_name": "PRIYA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA0613558",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0110008101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.