Individual provider Active NPI

Ananth R Nancherla, MD

  • Anesthesiology Physician
  • Potomac Falls, VA
National Provider Identifier
1639169196
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101044392 Issued in VA
Practice address
46161 Westlake Dr
Suite 200
Potomac Falls, VA 20165-5871
Phone
(703) 433-9230
Fax
(703) 433-9248
NPI assigned
Oct 26, 2005
Last updated
Jul 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101044392 VA Primary

Addresses

Primary practice location

46161 Westlake Dr
Suite 200
Potomac Falls, VA 20165-5871

Mailing address

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616-2880
Phone (919) 882-7908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jul 30, 2012 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology Current Accepting new patients
Inova Cares - Community Anesthesiology CurrentSince Jun 12, 2023 Accepting new patients
Loudoun Anesthesia Associates Anesthesiology Past Accepting new patients
The Anesthesia Group, PC Anesthesiology Past Accepting new patients
Comprehensive Pain and Anesthesia Services, PA Anesthesiology Past Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

44035 Riverside Pkwy
Ste 200
Leesburg, VA 20176
Phone (571) 209-6465

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1639169196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD",
            "address_2": "STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-7908",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR",
            "address_2": "SUITE 200",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-433-9230",
            "fax_number": "703-433-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCHERLA",
        "first_name": "ANANTH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101044392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac Falls, VA

Sources for this page

Verify at the official NPI Registry.