Prima Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101235757 Issued in VA

Legal business name

PRIMA MEDICINE

Practice address

3903 Fair Ridge Dr
Suite 218
Fairfax, VA 22033-2943

Phone

(703) 870-3750

Fax

(703) 594-8604

NPI assigned

Mar 8, 2010

Last updated

Sep 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chethana V Rao, M.DNPI 1710917869

Title

Director

Phone

(703) 870-3750

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Chethana Rao, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1710917869
  Authorized official Same address or phone

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1619290582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR",
            "address_2": "SUITE 218",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332943",
            "telephone_number": "703-870-3750",
            "fax_number": "703-594-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR",
            "address_2": "SUITE 218",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332943",
            "telephone_number": "703-870-3750",
            "fax_number": "703-594-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "CHETHANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-870-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101235757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Jillian Priesmeyer, PHD
• Gerald Priest, CRNA
• Jenesis Aliyah Priester
• Isabel Maria Prieto, RBT
• Prima Medgov
• Andrew Lane Primmer, CSA
• Primus Physical Therapy Fairfax
• Princeton Longevity Medical Group of Virginia LLC
• Ryan Jamal Prioleau
• Randall Leavitt Prior, D.MIN

• Internal Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.