Organization Active NPI

Tysons Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Vienna, VA
National Provider Identifier
1669747036
Registry record updated Mar 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101235827 Issued in VA
Legal business name
TYSONS MEDICAL GROUP
Practice address
8206 Leesburg Pike
Suite 302
Vienna, VA 22182-2614
Phone
(703) 436-8000
Fax
(703) 291-3311
NPI assigned
Mar 17, 2012
Last updated
Mar 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2012

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

Authorized official

Name
Faiza Kada, M.D.NPI 1447338975
Title
Founder
Phone
(703) 436-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101235827 VA Primary

Addresses

Primary practice location

8206 Leesburg Pike
Suite 302
Vienna, VA 22182-2614

Mailing address

8206 Leesburg Pike
Suite 302
Vienna, VA 22182-2614
Phone (703) 436-8000

National Provider Directory

National Provider Directory

Locations

8206 Leesburg Pike
Ste 302
Vienna, VA 22182
Phone (703) 436-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331942400000",
    "number": "1669747036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "SUITE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-436-8000",
            "fax_number": "703-291-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "SUITE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-436-8000",
            "fax_number": "703-291-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSONS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-17",
        "last_updated": "2012-03-17",
        "status": "A",
        "authorized_official_last_name": "KADA",
        "authorized_official_first_name": "FAIZA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "703-436-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101235827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2012; 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.