Organization Active NPI

Ravi R Iyer

  • Internal Medicine Physician
  • Herndon, VA
National Provider Identifier
1497927347
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101053203 Issued in VA
Legal business name
RAVI R IYER
Doing business as
Nova Health Mgmt & Research Group
Practice address
13505 Dulles Technology Dr
Suite 1a
Herndon, VA 20171-3401
Phone
(703) 404-5900
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Ravi R. Iyer, MD
Title
President
Phone
(703) 404-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101053203 VA Primary

Addresses

Primary practice location

13505 Dulles Technology Dr
Suite 1a
Herndon, VA 20171-3401

Mailing address

21495 Ridgetop Cir
Suite 102
Sterling, VA 20166-6512
Phone (703) 404-5900

Other identifiers 1

IdentifierTypeStateIssuer
580588MedicaidVA

Other names 1

  • Nova Health Mgmt & Research Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1497927347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21495 RIDGETOP CIR",
            "address_2": "SUITE 102",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666512",
            "telephone_number": "703-404-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 DULLES TECHNOLOGY DR",
            "address_2": "SUITE 1A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713401",
            "telephone_number": "703-404-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI R IYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-404-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101053203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580588",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Health Mgmt & Research Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.