Individual provider Active NPI

Gurwinder Singh

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1487034385
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101264195 Issued in VA
Practice address
2300 Opitz Blvd Ste G-209
Woodbridge, VA 22191-3311
Phone
(703) 523-0611
Fax
(703) 670-2089
NPI assigned
Jun 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101264195 VA
Student in an Organized Health Care Education/Training Program 390200000X MT208163 PA
Internal Medicine Physician 207R00000X 0101264195 VA Primary

Addresses

Primary practice location

2300 Opitz Blvd Ste G-209
Woodbridge, VA 22191-3311

Mailing address

14064 Lotus LN Apt 421
Centreville, VA 20120-6359
Phone (610) 657-4056

Other practice location 1

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000

Other practice location 2

4374 New Town Ave Ste 102
Williamsburg, VA 23188
Phone (757) 984-6174

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
I20180731000063 VA Practitioner - Internal MedicinePractitioner - Hospitalist 2163711383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

2300 Opitz Blvd
Suite 209
Woodbridge, VA 22191-3311
Phone (703) 523-0611

Hospital & facility affiliations

  • Sentara Home Care Services Home health agency, Dumfries, VA, CCN 497675
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101264195VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fauquier Physician Practices LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Aug 20, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

360 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

550 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5940

4374 New Town Ave
Ste 102
Williamsburg, VA 23188
Phone (757) 259-6770

2300 Opitz Blvd
Ste G209
Woodbridge, VA 22191

Interoperability endpoints

  • Direct secure messaging: gsingh428280@direct.sentara.net

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 2

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1487034385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14064 LOTUS LN APT 421",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201206359",
            "telephone_number": "610-657-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OPITZ BLVD STE G-209",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913311",
            "telephone_number": "703-523-0611",
            "fax_number": "703-670-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-237-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4374 New Town Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "23188",
            "country_code": "US",
            "telephone_number": "757-984-6174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GURWINDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101264195",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT208163",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101264195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.