Smita Sandeep Pathak, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024185561 Issued in VA

Practice address

44084 Riverside Parkway, Suite 300
Leesburg, VA 20176-5102

Phone

(703) 724-7530

NPI assigned

Nov 3, 2022

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.65 of 100Reported as apm

Quality

85.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smita.pathak@lmg1.eclinicaldirectplus.com

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.

• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440
  Medicare reassignment Care Compare group NPD
• Loudoun Medical Group, PC

  dba Loudoun Medical Group, PC 'D'

  • Vascular Surgery Physician
  • Reston, VA
  • NPI 1588376321
  NPD

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1639886138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 D CORNWALL STREET NW",
            "address_2": "STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-737-6010",
            "fax_number": "703-773-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44084 RIVERSIDE PARKWAY, SUITE 300",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765102",
            "telephone_number": "703-724-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E. Hirst Road, Suite 303",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "20132",
            "country_code": "US",
            "telephone_number": "540-338-9896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224-D Cornwall Street, NW, Suite 106",
            "address_purpose": "LOCATION",
            "city": "leesburg",
            "state": "VA",
            "postal_code": "20176",
            "country_code": "US",
            "telephone_number": "703-777-1612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24430 Stone Springs Blvd Suite 135",
            "address_purpose": "LOCATION",
            "city": "dulles",
            "state": "VA",
            "postal_code": "20166",
            "country_code": "US",
            "telephone_number": "703-957-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Town Square, Suite 180",
            "address_purpose": "LOCATION",
            "city": "lovettsville",
            "state": "VA",
            "postal_code": "20180",
            "country_code": "US",
            "telephone_number": "540-579-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43300 Southern Walk Plaza, Suite 100",
            "address_purpose": "LOCATION",
            "city": "broadlands",
            "state": "VA",
            "postal_code": "20148",
            "country_code": "US",
            "telephone_number": "571-252-7353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9229 Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312504",
            "country_code": "US",
            "telephone_number": "703-239-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "SMITA",
        "middle_name": "SANDEEP",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639886138",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017626990001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harsh Patel, PA-C
• Khushboo Patel
• Kunal Patel
• Monica Delwadia Patel, D.D.S.
• Reena Patel, PA-C
• Patient First Richmond Medical Group PLLC (Patient First - Leesburg)
• Anwar David Patterson, MS, EDS, NCC, LPC
• Premalkumar Rajnibhai Patwa, M.D.
• Nisha Ghimire Paudyal, FNP
• Paul a. Tudder, M.D., F.a.C.O.G., P.C.

• Family Nurse Practitioner in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.

Verify at the official NPI Registry.