NPIMap

Organization Active NPI

DMV Allergy and Asthma Center LLC

  • Allergy & Immunology Physician
  • Alexandria, VA
National Provider Identifier
1649041179
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
DMV ALLERGY AND ASTHMA CENTER LLC
Practice address
4660 Kenmore Ave Ste 516
Alexandria, VA 22304-1313
Phone
(703) 997-0811
Fax
(703) 997-0820
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Pavan Nataraj, MDNPI 1508359035
Title
Owner
Phone
(240) 817-0810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

4660 Kenmore Ave Ste 516
Alexandria, VA 22304-1313

Mailing address

112 Thomas Johnson Dr Ste 210
Frederick, MD 21702-4970
Phone (240) 817-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240524001377 DC Part B Supplier - Clinic/Group Practice 7719329515 Receives reassigned benefits from 5 practitioners
Practice locations: Alexandria, VA; Washington, DC
O20251014000581 MD Part B Supplier - Clinic/Group Practice 7719329515 Receives reassigned benefits from 4 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

3301 New Mexico Ave NW
Ste 305
Washington, DC 20016
Phone (202) 240-9002

112 Thomas Johnson Dr
Ste 210
Frederick, MD 21702
Phone (240) 817-0810

4660 Kenmore Ave
Ste 516
Alexandria, VA 22304
Phone (703) 997-0811

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1649041179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 THOMAS JOHNSON DR STE 210",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024970",
            "telephone_number": "240-817-0810",
            "fax_number": "240-817-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 516",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-997-0811",
            "fax_number": "703-997-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMV ALLERGY AND ASTHMA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "NATARAJ",
        "authorized_official_first_name": "PAVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-817-0810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.