NPIMap

Individual provider Active NPI

Rajiv Kumar Aggarwal, MBBS

  • Family Medicine Physician
  • Leesburg, VA
National Provider Identifier
1518146554
Registry record updated May 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101232243 Issued in VA
Practice address
211 S King St
Leesburg, VA 20175-2905
Phone
(571) 223-3833
Fax
(571) 223-3834
NPI assigned
Oct 26, 2007
Last updated
May 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101232243 VA Primary

Addresses

Primary practice location

211 S King St
Leesburg, VA 20175-2905

Mailing address

1860 Town Center Dr
Ste 340
Reston, VA 20190-5912
Phone (571) 223-3833

Other practice location 1

1860 Town Center Dr Ste 340
Reston, VA 20190-5912
Phone (571) 223-3833

Other identifiers 1

IdentifierTypeStateIssuer
010103878MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040930000487 VA Practitioner - Family Practice 5294621926 Reassigns benefits to 1 organization
I20050303000749 DC Practitioner - Family Practice 5294621926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 340
Reston, VA 20190-5912
Phone (571) 223-3833

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Emergency Medicine Physicians of Cattaraugus County, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCJCA/Endpoint/FBCJCA
  • Direct secure messaging: rajiv.aggarwal@ltf.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pathwell Home Health & HospiceWinchester, VA, CCN 491635 Hospice Contracted Managing Employee Apr 7, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590278400000",
    "number": "1518146554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "STE 340",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905912",
            "telephone_number": "571-223-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S KING ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752905",
            "telephone_number": "571-223-3833",
            "fax_number": "571-223-3834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Town Center Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905912",
            "country_code": "US",
            "telephone_number": "571-223-3833",
            "fax_number": "571-223-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "RAJIV",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2020-05-24",
        "certification_date": "2020-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101232243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010103878",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.