Active NPI
Madhu Singh, PAC
- Physician Assistant
- Leesburg, VA
National Provider Identifier
1609861475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110002010
- Practice address
- 19415 Deerfield Avenue
Suite 112
Leesburg, VA 20176 - Phone
- (703) 724-1195
- Fax
- (703) 724-4495
- NPI assigned
- Sep 16, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110002010 | VA | Primary |
Addresses
Primary practice location
19415 Deerfield Avenue
Suite 112
Leesburg, VA 20176
Mailing address
19415 Deerfield Avenue
Suite 112
Leesburg, VA 20176
Phone (703) 724-1195
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06319 | Other | VA | MEDICARE GROUP PIN |
| G00426 | Other | DC | MEDICARE GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1609861475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19415 DEERFIELD AVENUE",
"address_2": "SUITE 112",
"city": "LEESBURG",
"state": "VA",
"postal_code": "20176",
"telephone_number": "703-724-1195",
"fax_number": "703-724-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19415 DEERFIELD AVENUE",
"address_2": "SUITE 112",
"city": "LEESBURG",
"state": "VA",
"postal_code": "20176",
"telephone_number": "703-724-1195",
"fax_number": "703-724-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "MADHU",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "C06319",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "G00426",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.