Individual provider Active NPI

Sujeeta Poudel

  • Family Nurse Practitioner
  • Annandale, VA
National Provider Identifier
1669148979
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182348 Issued in VA
Practice address
7617 Little River Tpke Ste 850
Annandale, VA 22003-2618
Phone
(571) 665-6620
NPI assigned
Aug 17, 2021
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182348 VA Primary

Addresses

Primary practice location

7617 Little River Tpke Ste 850
Annandale, VA 22003-2618

Mailing address

6803 Gouthier Rd
Falls Church, VA 22042-2708

Other practice location 1

46440 Benedict Dr Ste 208
Sterling, VA 20164-6602
Phone (571) 665-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211122002201 VA Practitioner - Nurse Practitioner 0840689360 Reassigns benefits to 4 organizations
I20211123001582 DC Practitioner - Nurse Practitioner 0840689360 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manbir Takhar PCGroup PAC ID 0749206951, 41 clinicians
Tru Health Group PCGroup PAC ID 6406216183, 29 clinicians

Practice addresses (Care Compare)

14520 Richmond Hwy
Woodbridge, VA 22191-2808
Phone (301) 428-1070

7598 Telegraph Rd
Alexandria, VA 22315-3829
Phone (703) 778-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024182348VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. CurrentSince Aug 2, 2024 Accepting new patients
Tru Health Group, PC CurrentSince Jul 14, 2024 Accepting new patients
Inova Health Care Services CurrentSince Nov 15, 2021 Accepting new patients
Manbir Takhar, P.C. CurrentSince Aug 2, 2024 Accepting new patients
Inova Health Care Services CurrentSince Nov 15, 2021 Accepting new patients
Inova Health Care Services CurrentSince Nov 15, 2021 Accepting new patients

Locations

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

7598 Telegraph Rd
Alexandria, VA 22315
Phone (703) 778-0400

7617 Little River Tpke
Ste 850
Annandale, VA 22003
Phone (571) 665-6620

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

531 E Market St
Ste D
Leesburg, VA 20176
Phone (301) 427-1070

1210 Wolf Rock Dr
Purcellville, VA 20132
Phone (310) 428-1070

1231 Wolf Rock Dr
Ste 185
Purcellville, VA 20132

25031 Riding Plz
Ste 115B
South Riding, VA 20152
Phone (571) 267-2350

22000 Dulles Retail Plz
Sterling, VA 20166
Phone (703) 421-3322

22000 Dulles Retail Plz
Ste 132
Sterling, VA 20166
Phone (703) 962-4160

46440 Benedict Dr
Ste 208
Sterling, VA 20164
Phone (571) 665-6500

14520 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 497-1234

Interoperability endpoints

  • Direct secure messaging: sujeeta.poudel.2@20907.direct.athenahealth.com

Organizations & group practices 6

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1669148979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 GOUTHIER RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 LITTLE RIVER TPKE STE 850",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032618",
            "telephone_number": "571-665-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46440 Benedict Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201646602",
            "country_code": "US",
            "telephone_number": "571-665-6500",
            "fax_number": "571-665-6501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POUDEL",
        "first_name": "SUJEETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.