Active NPI
Ariana Braganza, AUD
- Audiologist
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001930
- Practice address
- 1860 Town Center Dr Ste 335
Reston, VA 20190-5900 - Phone
- (703) 787-3322
- NPI assigned
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Ashburn, VA
- NPI 1558512673
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reston Ear Nose and Throat PC
Practice addresses (Care Compare)
12600 Fair Lakes Cir
Suite 102
Fairfax, VA 22033-4904
Phone (703) 787-3322
24430 Stone Springs Blvd
Suite 250a
Dulles, VA 20166-2267
Phone (703) 787-3322
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230714002586 | VA | Practitioner - Qualified Audiologist | 2062872526 | Reassigns benefits to 1 organization |
| I20231221001304 | DC | Practitioner - Qualified Audiologist | 2062872526 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001930 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reston Ear Nose and Throat PC | Current | Accepting new patients | |
| Edwin J Lee MD PC | Past | Accepting new patients |
Locations
12600 Fair Lakes Cir
Ste 102
Fairfax, VA 22033
3580 Joseph Siewick Dr
Ste 208
Fairfax, VA 22033
Phone (703) 787-3322
1860 Town Center Dr
Ste 335
Reston, VA 20190
Phone (703) 787-3322
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001930 | VA | Primary |
Addresses
Primary practice location
1860 Town Center Dr Ste 335
Reston, VA 20190-5900
Mailing address
1860 Town Center Dr Ste 335
Reston, VA 20190-5900
NPI Registry JSON
{
"created_epoch": "1686873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1558046672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 TOWN CENTER DR STE 335",
"city": "RESTON",
"state": "VA",
"postal_code": "201905900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 TOWN CENTER DR STE 335",
"city": "RESTON",
"state": "VA",
"postal_code": "201905900",
"telephone_number": "703-787-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGANZA",
"first_name": "ARIANA",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-16",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.