Individual provider Active NPI

Samir Vinodrai Tarpara, M.D.

  • Child & Adolescent Psychiatry Physician
  • MC Lean, VA
National Provider Identifier
1639430929
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101262747 Issued in VA
Practice address
6842 Elm St Ste 104
MC Lean, VA 22101-3844
Phone
(703) 307-0448
NPI assigned
Jun 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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 0101262747 VA
Child & Adolescent Psychiatry Physician 2084P0804X 0101262747 VA Primary

Addresses

Primary practice location

6842 Elm St Ste 104
MC Lean, VA 22101-3844

Mailing address

6842 Elm St Ste 104
MC Lean, VA 22101-3844
Phone (703) 307-0448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101262747VAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1639430929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 ELM ST STE 104",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013844",
            "telephone_number": "703-307-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 ELM ST STE 104",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013844",
            "telephone_number": "703-307-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARPARA",
        "first_name": "SAMIR",
        "middle_name": "VINODRAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-03",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101262747",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101262747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.