Organization Active NPI

One Care Medical

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1457682189
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101246283 Issued in VA
Legal business name
ONE CARE MEDICAL
Practice address
13895 Hedgewood Dr
Suite 101
Woodbridge, VA 22193-7924
Phone
(571) 308-8530
Fax
(425) 905-1813
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Nika Jani, M.D.NPI 1194995605
Title
Managing Director
Phone
(571) 308-8530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101246283 VA Primary

Addresses

Primary practice location

13895 Hedgewood Dr
Suite 101
Woodbridge, VA 22193-7924

Mailing address

13895 Hedgewood Dr
Suite 101
Woodbridge, VA 22193-7925
Phone (571) 308-8530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000356 VA Part B Supplier - Clinic/Group Practice 3476696758 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2032039One Care Medical13895 Hedgewood Drive - Suite 101, Woodbridge, VA 22193Certificate of waiverNov 1, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1457682189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13895 HEDGEWOOD DR",
            "address_2": "SUITE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937925",
            "telephone_number": "571-308-8530",
            "fax_number": "425-905-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13895 HEDGEWOOD DR",
            "address_2": "SUITE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937924",
            "telephone_number": "571-308-8530",
            "fax_number": "425-905-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE CARE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "NIKA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "571-308-8530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.