Active NPI
Alok Kumar, MD
- Psychiatry Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101246802
- Practice address
- 3930 Pender Dr Ste 350
Fairfax, VA 22030-0986 - Phone
- (703) 865-8686
- Fax
- (703) 865-6506
- NPI assigned
- Jun 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | N3803 | TX | |
| Psychiatry Physician | 2084P0800X | 0101246802 | VA | Primary |
Addresses
Primary practice location
3930 Pender Dr Ste 350
Fairfax, VA 22030-0986
Mailing address
PO Box 220403
Chantilly, VA 20153-0403
Phone (703) 626-1420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Texas Medical Branch at Galveston, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3930 Pender Dr
Suite 240
Fairfax, VA 22030-0986
Phone (703) 865-8686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N3803 | TX | MD | Psychiatry Physician |
| 0101246802 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsych Wellness Center, PC | Psychiatry | Current | Accepting new patients |
| Vickie Taylor Community Health Clinic | Past | Accepting new patients |
Locations
3930 Pender Dr
Ste 240
Fairfax, VA 22030
Phone (703) 865-8686
3930 Pender Dr
Ste 350
Fairfax, VA 22030
Phone (703) 865-6565
614 Hastings Ln
Warrenton, VA 20186
Phone (540) 347-4770
Interoperability endpoints
- alok.kumar.2@18773.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Fairfax, VA
- NPI 1407236482
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
- NPI 1558764134
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
- NPI 1376918318
-
- Federally Qualified Health Center (FQHC)
- Texas City, TX
- NPI 1699901116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1639373202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220403",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201530403",
"telephone_number": "703-626-1420",
"fax_number": "703-865-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 PENDER DR STE 350",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300986",
"telephone_number": "703-865-8686",
"fax_number": "703-865-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "ALOK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "N3803",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101246802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.
- 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.