Individual provider Active NPI

Navinam Sandhu

  • General Practice Physician
  • Woodbridge, VA
National Provider Identifier
1548798705
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101271394 Issued in VA
Practice address
14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817
Phone
(703) 497-1234
NPI assigned
May 31, 2017
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 0101271394 VA Primary

Addresses

Primary practice location

14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817

Mailing address

PO Box 737
San Joaquin, CA 93660-0737

Other practice location 1

PO Box 737
San Joaquin, CA 93660-0737
Phone (559) 203-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20211014003187 VA Practitioner - General Practice 5294133641 Reassigns benefits to 3 organizations
I20240924000462 DC Practitioner - General Practice 5294133641 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manbir Takhar PCGroup PAC ID 0749206951, 41 clinicians
Tru Health Group PCGroup PAC ID 6406216183, 29 clinicians

Practice addresses (Care Compare)

14527 Jefferson Davis Hwy
Woodbridge, VA 22191-2817
Phone (301) 428-1070

531 E Market St
Suite D
Leesburg, VA 20176-4116
Phone (301) 428-1070

7598 Telegraph Rd
Alexandria, VA 22315-3829
Phone (703) 778-0400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101271394VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. CurrentSince May 21, 2021 Accepting new patients
Tru Health Group, PC CurrentSince Jul 1, 2023 Accepting new patients
Manbir Takhar, P.C. CurrentSince May 21, 2021 Accepting new patients

Locations

12321 Middlebrook Rd
Germantown, MD 20874
Phone (301) 741-3814

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

7598 Telegraph Rd
Alexandria, VA 22315
Phone (703) 778-0400

25031 Riding Plz
Ste 115
Chantilly, VA 20152

531 E Market St
Ste D
Leesburg, VA 20176
Phone (301) 427-1070

1210 Wolf Rock Dr
Purcellville, VA 20132
Phone (310) 428-1070

1231 Wolf Rock Dr
Ste 185
Purcellville, VA 20132

25031 Riding Plz
Ste 115B
South Riding, VA 20152
Phone (571) 267-2350

22000 Dulles Retail Plz
Sterling, VA 20166
Phone (703) 421-3322

14520 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 497-1234

Interoperability endpoints

  • Direct secure messaging: navinam.sandhu.1@20907.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1548798705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14527 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912817",
            "telephone_number": "703-497-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 737",
            "address_purpose": "LOCATION",
            "city": "San Joaquin",
            "state": "CA",
            "postal_code": "936600737",
            "country_code": "US",
            "telephone_number": "559-203-6640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "NAVINAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101271394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.