Individual provider Active NPI

Bijal Katarki, M.D.

  • Family Medicine Physician
  • Reston, VA
National Provider Identifier
1669583910
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101235161 Issued in VA
Practice address
1860 Town Center Dr
Ste 310
Reston, VA 20190-3292
Phone
(703) 435-0700
Fax
(703) 435-0660
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101235161 VA Primary

Addresses

Primary practice location

1860 Town Center Dr
Ste 310
Reston, VA 20190-3292

Mailing address

1860 Town Center Dr
Ste 310
Reston, VA 20190-3292
Phone (703) 435-0700

Other identifiers 1

IdentifierTypeStateIssuer
010019770MedicaidVA

Other names 1

  • Bijal Vinayak Desai Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031104000200 DC Practitioner - Family Practice 3577475920 Reassigns benefits to 1 organization
I20140610001722 VA Practitioner - Family Practice 3577475920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235161VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Wayne Medical Education Program Family Medicine PastSince Sep 1, 2024 Accepting new patients
Umc Holdings, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bijal.katarki.1@8042.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1669583910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "STE 310",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-435-0700",
            "fax_number": "703-435-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "STE 310",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-435-0700",
            "fax_number": "703-435-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATARKI",
        "first_name": "BIJAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010019770",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIJAL",
            "last_name": "DESAI",
            "middle_name": "VINAYAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.