North Virginia Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101235482 Issued in VA

Legal business name

NORTH VIRGINIA FAMILY PRACTICE PC

Practice address

4331 Ridgewood Center Dr
Woodbridge, VA 22192-5308

Phone

(703) 580-0124

Fax

(703) 580-0126

NPI assigned

Jul 21, 2008

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tejas J Shah, M.D.NPI 1881752145

Title

Director, Ceo

Phone

(703) 580-0124

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tejas Jagdishchandra Shah, M.D.

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1881752145
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1417112236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925308",
            "telephone_number": "703-580-0124",
            "fax_number": "703-580-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925308",
            "telephone_number": "703-580-0124",
            "fax_number": "703-580-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VIRGINIA FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, CEO",
        "authorized_official_telephone_number": "703-580-0124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010093139",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Patricia Draghia Noonan, AG-ACNP
• Rizwana Noor, DDS
• Mohammad Sediq Noori
• Amanda Norah-Brooks, LCSW
• Norman S. Levy, D.D.S., LTD.
• Northern Virginia Anesthesia Assoc.
• Northern Virginia Area Bariatric Consultants
• Northern Virginia Endoscopy Center
• Northern Virginia Eye Associates, PC (My Eye Dr.)
• Northern Virginia Heart & Vascular Center, LLC

• Family Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.