Active NPI
Saivarshith Peddireddy
- Student in an Organized Health Care Education/Training Program
- Ashburn, VA
National Provider Identifier
1619613957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PEDD-LT0MLY
- Practice address
- 21298 Southolme Way
Ashburn, VA 20147-6089 - Phone
- (703) 593-9721
- NPI assigned
- May 10, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PEDD-LT0MLY | NC | Primary |
Addresses
Primary practice location
21298 Southolme Way
Ashburn, VA 20147-6089
Mailing address
21298 Southolme Way
Ashburn, VA 20147-6089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220629002253 | NC | Order and Referring Only - General Surgery | 7012397672 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PEDD-LT0MLY | NC | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- saivarshith.peddireddy@hca5.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1619613957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21298 SOUTHOLME WAY",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21298 SOUTHOLME WAY",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476089",
"telephone_number": "703-593-9721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDDIREDDY",
"first_name": "SAIVARSHITH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-10",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "PEDD-LT0MLY",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.