Individual provider Active NPI

Surya Kathirvelu

  • Family Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1578258653
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03230752 Issued in VA
Practice address
6319 Castle PL Ste 3a
Falls Church, VA 22044-1907
Phone
(571) 830-0231
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03230752 VA Primary

Addresses

Primary practice location

6319 Castle PL Ste 3a
Falls Church, VA 22044-1907

Mailing address

26461 Morgans Crossing PL
Centreville, VA 20120-1271
Phone (571) 443-7086

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230630000816 VA Practitioner - Nurse Practitioner 1153780630 Reassigns benefits to 1 organization
I20230630002492 DC Practitioner - Nurse Practitioner 1153780630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03230752VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manassas Primary Care, LLC PastSince Sep 4, 2011 Accepting new patients
Privia Medical Group, LLC PastSince Apr 9, 2023 Accepting new patients
Privia Medical Group, LLC PastSince Apr 9, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1578258653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26461 MORGANS CROSSING PL",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201271",
            "telephone_number": "571-443-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PL STE 3A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907",
            "telephone_number": "571-830-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHIRVELU",
        "first_name": "SURYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "F03230752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.