Individual provider Active NPI

Robert A Sikora Jr., M.D.

  • Allergy Physician
  • Woodbridge, VA
National Provider Identifier
1447254263
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0101059152 Issued in VA
Practice address
2296 Opitz Blvd
Ste 401
Woodbridge, VA 22191-3347
Phone
(703) 670-3900
Fax
(703) 670-6675
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0101059152 VA Primary

Addresses

Primary practice location

2296 Opitz Blvd
Ste 401
Woodbridge, VA 22191-3347

Mailing address

34 Rollingside Dr
Fredericksburg, VA 22406-7268
Phone (540) 752-6845

Other identifiers 11

IdentifierTypeStateIssuer
5601763OtherVAAETNA PPO
143210OtherVAHEALTHKEEPERS
4121847OtherVAUNITED
502500OtherVANCPPO
143210OtherVAANTHEM BC BS
201305262OtherVATRICARE
4121847OtherVAMAMSI
4121847OtherVAALLIANCE
J858001OtherVACAREFIRST BC
010081271MedicaidVA
3658228OtherVAAETNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000857 VA Practitioner - Allergy/Immunology 6800885997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Center for Allergy and Asthma Inc.Group PAC ID 1456329168, 2 clinicians

Practice addresses (Care Compare)

2296 Opitz Blvd
Suite 401
Woodbridge, VA 22191-3347
Phone (703) 670-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101059152VAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Center for Allergy and Asthma Inc. CurrentSince Jul 14, 2004 Accepting new patients

Locations

1708 Fall Hill Ave
Ste 201
Fredericksburg, VA 22401
Phone (540) 374-1725

2535 Cowan Blvd
Fredericksburg, VA 22401
Phone (540) 368-9472

282 Choptank Rd
Ste 105
Stafford, VA 22556
Phone (540) 300-2013

2296 Opitz Blvd
Ste 401
Woodbridge, VA 22191
Phone (703) 670-3900

Interoperability endpoints

  • Direct secure messaging: sikora.robert.002.0460011@vgaa.meditab.direct-ci.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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1447254263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ROLLINGSIDE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067268",
            "telephone_number": "540-752-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD",
            "address_2": "STE 401",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913347",
            "telephone_number": "703-670-3900",
            "fax_number": "703-670-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101059152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5601763",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "143210",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "4121847",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "502500",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "143210",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "201305262",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "4121847",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "4121847",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC",
            "identifier": "J858001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010081271",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3658228",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.