Integrated Healthcare Systems Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104555899 Issued in VA

Legal business name

INTEGRATED HEALTHCARE SYSTEMS INC

Doing business as

Integrated Healthcare Centers

Practice address

24805 Pinebrook Rd Ste 314
Chantilly, VA 20152-4128

Phone

(703) 957-3373

Fax

(703) 738-7778

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Vishal Krishna Verma, DCNPI 1568674547

Title

Owner/President

Phone

(703) 957-3373

Specialties & licenses 1

Addresses

Other names 1

• Integrated Healthcare Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vishal Krishna Verma, D.C.

  • Rehabilitation Chiropractor
  • Chantilly, VA
  • NPI 1568674547
  Medicare reassignment Care Compare group Authorized official
• Kody S Kettle

  • Chiropractor
  • Chantilly, VA
  • NPI 1669129383
  Medicare reassignment Care Compare group
• Shubhra Saksena, M.D.

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1891865473
  NPD
• Gwen Huyen Chu, P.T.

  • Physical Therapist
  • Fairfax, VA
  • NPI 1699962456
  NPD (past)
• Chavone Johnson, PT

  • Physical Therapist
  • Fairfax, VA
  • NPI 1851455448
  NPD (past)
• Vanessa B Peyton, M.D.

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1851461446
  NPD (past)
• Amy Rock, RD

  • Registered Dietitian
  • Fairfax, VA
  • NPI 1497638357
  NPD (past)

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1437693348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24805 PINEBROOK RD STE 314",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524128",
            "telephone_number": "703-957-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24805 PINEBROOK RD STE 314",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524128",
            "telephone_number": "703-957-3373",
            "fax_number": "703-738-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2024-02-07",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-957-3373",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104555899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Healthcare Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Healthcare Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Max-Andre Isidore, LCSW
• Dixine D Iverson, COTA
• Lisa Jackson-Wardlaw, LCSW
• Catherine Elizabeth Jackson
• Hope Lachiel Jackson

• Sports Physician Chiropractor in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.