Individual provider Active NPI

Alok Kumar, MD

  • Psychiatry Physician
  • Fairfax, VA
National Provider Identifier
1639373202
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101246802 Issued in VA
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

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000221 DC Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6406995588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric 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
Neuropsych Wellness Center, PCGroup PAC ID 9335271725, 22 clinicians

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

LicenseStateTypeSpecialty
N3803TXMDPsychiatry Physician
0101246802VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsych Wellness Center, PC Psychiatry CurrentSince Jun 15, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.