Individual provider Active NPI

Arunan Vamadevan, M.D.

  • Gastroenterology Physician
  • Manassas, VA
National Provider Identifier
1457546236
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101258027 Issued in VA
Practice address
8700 Sudley Rd
Manassas, VA 20110-4418
Phone
(434) 295-1000
NPI assigned
Sep 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101258027 VA Primary

Addresses

Primary practice location

8700 Sudley Rd
Manassas, VA 20110-4418

Mailing address

14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4722

Other practice location 1

14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4722
Phone (703) 580-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150601001978 DC Practitioner - Gastroenterology 4486975562 Reassigns benefits to 1 organization
I20150618002985 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 4486975562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4723
Phone (703) 580-0181

1800 N Beauregard St
Suite 200
Alexandria, VA 22311-1725
Phone (703) 823-3750

24570 Gum Spring Rd
Sterling, VA 20166-2246
Phone (703) 698-8960

3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Upper gastrointestinal (GI) endoscopy for acid reflux55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101258027VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC Gastroenterology CurrentSince Oct 1, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Nov 8, 2023 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

2616 Sherwood Hall Ln
Ste 203
Alexandria, VA 22306
Phone (703) 360-0594

1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

8140 Ashton Ave
Ste 212
Manassas, VA 20109
Phone (703) 362-3114

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

422 Garrisonville Rd
Ste 109
Stafford, VA 22554
Phone (540) 659-9359

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

14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone 7035800181135

Interoperability endpoints

  • Direct secure messaging: arunan.vamadevan@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1457546236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 SMOKETOWN RD",
            "address_2": "SUITE 117",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104418",
            "telephone_number": "434-295-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14010 Smoketown Rd",
            "address_2": "Suite 117",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924722",
            "country_code": "US",
            "telephone_number": "703-580-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAMADEVAN",
        "first_name": "ARUNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101258027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.