Center for Orthopaedics and Sports Medicine Inc
Organization Active NPI Orthopaedic Surgery Physician · Tysons, VA
NPI 1578841532 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1578841532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE INC
- Practice address
- 8230 Boone Blvd Ste 200
Tysons, VA 22182-2647 - Phone
- (703) 848-0800
- Fax
- (703) 848-0825
- NPI assigned
- Jul 25, 2011
- Organization subpart
- No
Authorized official
- Name
- Ramesh Chandra
- Title
- Medical Director
- Phone
- (703) 848-0800
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 1
-
Ramesh G Chandra, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041123000736 | DC | Part B Supplier - Clinic/Group Practice | 2365405768 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Falls Church, VA; Herndon, VA; Tysons Corner, VA |
| O20200720001376 | VA | DME Supplier - Physician - General Practice | 2365405768 | Practice locations: Tysons Corner, VA |
National Provider Directory
- Tax ID family
- Center for Orthopaedics and Sports Medicine Inc
Locations
8230 Boone Blvd
Ste 200
Vienna, VA 22182
Phone (703) 848-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
8230 Boone Blvd Ste 200
Tysons, VA 22182-2647
Mailing address
8230 Boone Blvd Ste 200
Tysons, VA 22182-2647
Phone (703) 848-0800
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All providers in Tysons, VA · Orthopaedic Surgery Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.