Individual provider Active NPI

Suneetha Manem, M.D.

  • Specialist
  • Fairfax, VA
National Provider Identifier
1467611707
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101235954 Issued in VA
Practice address
8303 Arlington Blvd
Suite 202
Fairfax, VA 22031-2903
Phone
(703) 635-3275
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101235954 VA Primary

Addresses

Primary practice location

8303 Arlington Blvd
Suite 202
Fairfax, VA 22031-2903

Mailing address

PO Box 7534
MC Lean, VA 22106-7534
Phone (703) 635-3275

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
I20050104000312 DC Practitioner - Neurology 8820046147 Reassigns benefits to 3 organizations
I20050105000057 VA Practitioner - Neurology 8820046147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

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

3800 Fettler Park Dr
Suite 312
Dumfries, VA 22025-2043
Phone (571) 472-6791

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

8303 Arlington Blvd
Suite 106
Fairfax, VA 22031-2903
Phone (703) 635-3275

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Dec 2, 2024 Accepting new patients
Inova Health Care Services CurrentSince Dec 2, 2024 Accepting new patients
Inova Health Care Services CurrentSince Dec 2, 2024 Accepting new patients
Neurology Consultants Corp Specialist CurrentSince Jan 3, 2006 Accepting new patients
Neurology Services, Incorporated Past Accepting new patients
Minimally Invasive Pain Institute, PLLC Past Accepting new patients

Locations

3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791

8303 Arlington Blvd
Ste 202
Fairfax, VA 22031
Phone (703) 573-4773

8303 Arlington Blvd
Ste 106
Fairfax, VA 22031
Phone (703) 635-3275

8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200

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

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500

2296 Opitz Blvd
Ste 360
Woodbridge, VA 22191
Phone (703) 878-0600

Interoperability endpoints

  • Direct secure messaging: neurologyconsultantscorp.suneethamanem@119566.advancedmd-direct.com

Organizations & group practices 6

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 5

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1467611707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7534",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221067534",
            "telephone_number": "703-635-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD",
            "address_2": "SUITE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-635-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEM",
        "first_name": "SUNEETHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101235954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.