Individual provider Active NPI

Atul P Kapadia, M.D.

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1619986940
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101057778 Issued in VA
Practice address
1966 Opitz Blvd
Woodbridge, VA 22191-3304
Phone
(703) 897-8389
Fax
(571) 398-6358
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101057778 VA Primary

Addresses

Primary practice location

1966 Opitz Blvd
Woodbridge, VA 22191-3304

Mailing address

4900 N Centaurs CT
Annandale, VA 22003-4203
Phone (703) 897-8389

Other identifiers 5

IdentifierTypeStateIssuer
5282681OtherVAAETNA
5873177MedicaidVA
020603979OtherTAX ID
2165485OtherUNITED HEALTHCARE
385618OtherVAANTHEM, BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000293 VA Practitioner - Internal Medicine 9931190451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1966 Opitz Blvd
Woodbridge, VA 22191-3304
Phone (703) 897-8389

Hospital & facility affiliations

  • Care With Love, LLC Home health agency, Fairfax, VA, CCN 497762
  • Sentara Home Care Services Home health agency, Dumfries, VA, CCN 497675
  • Mak Superior Home Health LLC Home health agency, Woodbridge, VA, CCN 497811
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as individual
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
85.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101057778VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Internal Medicine LLC Internal Medicine CurrentSince Jun 1, 2002 Accepting new patients
Prachak T Siriprakorn M.D. P.C. PastSince Jul 1, 2002 Accepting new patients

Locations

1966 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 491-2179

2280 Opitz Blvd
Ste 210
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGDAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGDAAA/Endpoint/GGDAAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1619986940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N CENTAURS CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034203",
            "telephone_number": "703-897-8389",
            "fax_number": "703-897-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-897-8389",
            "fax_number": "571-398-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPADIA",
        "first_name": "ATUL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5282681",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5873177",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "020603979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2165485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, BCBS",
            "identifier": "385618",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.