Organization Active NPI

Anil Verma MD PC

  • Internal Medicine Physician
  • Springfield, VA
National Provider Identifier
1619072709
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101031429 Issued in VA
Legal business name
ANIL VERMA MD PC
Practice address
8346 Traford LN
Springfield, VA 22152-1600
Phone
(703) 644-5030
Fax
(703) 644-5099
NPI assigned
Sep 13, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Anil Verma, M.D.NPI 1174628366
Title
President
Phone
(703) 644-5030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101031429 VA Primary

Addresses

Primary practice location

8346 Traford LN
Springfield, VA 22152-1600

Mailing address

8346 Traford LN
Springfield, VA 22152-1600
Phone (703) 644-5030

Other identifiers 4

IdentifierTypeStateIssuer
006097731MedicaidVA
086046OtherVAANTHEM BLUE CROSS BLUE SH
0065213 002OtherCIGNA HEALTH CARE
00300001OtherCAREFIRST BLUE CROSS BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080416000048 DC Part B Supplier - Clinic/Group Practice 8628156601 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, VA

National Provider Directory

National Provider Directory

Locations

8346 Traford Ln
Ste 101
Springfield, VA 22152
Phone (703) 451-7505

8346 Traford Ln
Ste 106
Springfield, VA 22152
Phone (703) 644-5030

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1619072709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8346 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521600",
            "telephone_number": "703-644-5030",
            "fax_number": "703-644-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8346 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521600",
            "telephone_number": "703-644-5030",
            "fax_number": "703-644-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL VERMA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-644-5030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101031429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006097731",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "086046",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "0065213 002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE",
            "identifier": "00300001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.