Active NPI
Pavan Nataraj, MD
- Allergy & Immunology Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 036160076
- Practice address
- 4660 Kenmore Ave Ste 516
Alexandria, VA 22304-1313 - Phone
- (703) 997-0811
- Fax
- (703) 997-0820
- NPI assigned
- Jun 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 036160076 | IL | Primary |
| Allergy Physician | 207KA0200X | MD210001682 | DC | |
| Internal Medicine Physician | 207R00000X | MT215920 | PA |
Addresses
Primary practice location
4660 Kenmore Ave Ste 516
Alexandria, VA 22304-1313
Mailing address
112 Thomas Johnson Dr Ste 210
Frederick, MD 21702-4970
Phone (240) 817-0810
Other practice location 1
2021 K St NW Ste 400
Washington, DC 20006-1009
Phone (202) 833-3500
Other practice location 2
3301 New Mexico Ave NW Ste 305
Washington, DC 20016-3624
Phone (202) 244-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Thomas Johnson Dr
Suite 210
Frederick, MD 21702-4970
Phone (240) 817-0810
2021 K St NW
Washington, DC 20006-1009
Phone (301) 252-1866
5507 S Congress Ave
Suite 140
Atlantis, FL 33462-1139
Phone (561) 965-6685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036160076 | IL | MD | Allergy & Immunology Physician |
| MD210001682 | DC | MD | Allergy Physician |
| MT215920 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Allergy and Asthma Associates, PA | Allergy & Immunology | Current | Accepting new patients |
| DMV Allergy and Asthma Center LLC | Allergy & Immunology | Current | Accepting new patients |
| Henry J Fishman , M.D., P.C. | Allergy | Past | Accepting new patients |
| DMV Allergy and Asthma Center LLC | Allergy & Immunology | Past | Accepting new patients |
Locations
2021 K St NW
Washington, DC 20006
Phone (202) 466-8118
3301 New Mexico Ave NW
Ste 305
Washington, DC 20016
Phone (202) 240-9002
2021 K St NW
Ste 400
Washington, DC 20006
Phone (202) 466-5151
10151 Enterprise Ctr
Ste 175
Boynton Beach, FL 33437
6056 W Boynton Beach Blvd
Ste 175
Boynton Beach, FL 33437
Phone (561) 572-2024
10151 Entrprs Cntr Blvd
Ste 207
Boynton Beach, FL 33437
Phone (561) 735-0250
5507 S Congress Ave
Ste 140
Lantana, FL 33462
Phone (561) 965-6685
112 Thomas Johnson Dr
Ste 210
Frederick, MD 21702
Phone (240) 817-0810
4660 Kenmore Ave
Ste 516
Alexandria, VA 22304
Phone (703) 997-0811
4660 Kenmore Ave
Ste 419
Alexandria, VA 22304
Phone (301) 252-1866
Organizations & group practices 4
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.
-
- Allergy & Immunology Physician
- Alexandria, VA
- NPI 1649041179
DC, MD
-
- Allergy & Immunology Physician
- Atlantis, FL
- NPI 1215919055
-
- Allergy & Immunology Physician
- Frederick, MD
- NPI 1184508004
-
- Allergy Physician
- Washington, DC
- NPI 1922409705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1508359035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 THOMAS JOHNSON DR STE 210",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024970",
"telephone_number": "240-817-0810",
"fax_number": "240-817-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 516",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-997-0811",
"fax_number": "703-997-0820"
}
],
"practiceLocations": [
{
"address_1": "2021 K St NW Ste 400",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200061009",
"country_code": "US",
"telephone_number": "202-833-3500",
"fax_number": "202-833-3503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3301 New Mexico Ave NW Ste 305",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200163624",
"country_code": "US",
"telephone_number": "202-244-9000",
"fax_number": "202-244-9006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATARAJ",
"first_name": "PAVAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-09",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "036160076",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "DC",
"license": "MD210001682",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT215920",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.