NPIMap

Individual provider Active NPI

Ketan K. Trivedi, M.D.

  • Cardiovascular Disease Physician
  • Fairfax, VA
National Provider Identifier
1457353583
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101055841 Issued in VA
Practice address
3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764
Phone
(703) 648-3266
Fax
(703) 648-3264
NPI assigned
Jun 1, 2005
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101055841 VA Primary

Addresses

Primary practice location

3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764

Mailing address

2901 Telestar CT.
#300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other practice location 1

24430 Stone Springs Blvd # 425
Dulles, VA 20166-2247
Phone (703) 722-5860

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktrivedi26355@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040423000075 DC Practitioner - Cardiovascular Disease (Cardiology) 2062408123 Reassigns benefits to 4 organizations
I20100129000405 VA Practitioner - Cardiovascular Disease (Cardiology) 2062408123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

2901 Telestar CT
Falls Church, VA 22042-1260

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

4320 Seminary Rd
Alexandria, VA 22304-1535

44035 Riverside Pkwy
Leesburg, VA 20176-8260

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

4660 Kenmore Ave
Alexandria, VA 22304-1306

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cardiovascular Group, PC Cardiovascular Disease CurrentSince Jul 1, 2001 Accepting new patients
Reston Hospital Center, LLC CurrentSince Aug 20, 2016 Accepting new patients
Reston Hospital Center, LLC CurrentSince Aug 20, 2016 Accepting new patients
Inova Health Care Services CurrentSince Mar 2, 2011 Accepting new patients
Inova Health Care Services CurrentSince Mar 2, 2011 Accepting new patients
Virginia Hospital Center Arlington Health System CurrentSince Nov 1, 2006 Accepting new patients
Virginia Hospital Center Arlington Health System CurrentSince Nov 1, 2006 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

24430 Stone Springs Blvd
Ste 425
Dulles, VA 20166
Phone (703) 722-5860

3580 Joseph Siewick Dr
Ste 305
Fairfax, VA 22033
Phone (703) 648-3266

3620 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-3266

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Ste 150
Leesburg, VA 20176
Phone (703) 858-3050

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1850 Town Center Pkwy
Ste 550
Reston, VA 20190
Phone (703) 437-5977

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265

Interoperability endpoints

  • Direct secure messaging: ktrivedi26355@soc.inova.org

Organizations & group practices 9

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 6

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1457353583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT.",
            "address_2": "#300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 JOSEPH SIEWICK DR STE 305",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331764",
            "telephone_number": "703-648-3266",
            "fax_number": "703-648-3264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24430 Stone Springs Blvd # 425",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662247",
            "country_code": "US",
            "telephone_number": "703-722-5860",
            "fax_number": "703-722-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "KETAN",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101055841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktrivedi26355@soc.inova.org",
            "affiliation": "N",
            "address_1": "3580 Joseph Siewick Dr Ste 305",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.