Organization Active NPI

Rajdeep Parmar MD PLC

  • Internal Medicine Physician
  • Front Royal, VA
National Provider Identifier
1679148589
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAJDEEP PARMAR MD PLC
Practice address
400 W Strasburg Rd
Front Royal, VA 22630-4644
Phone
(800) 969-1104
Fax
(703) 763-7272
NPI assigned
May 24, 2021
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Rajdeep Parmar, MDNPI 1518939008
Title
Sole Member
Phone
(630) 907-0578

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

400 W Strasburg Rd
Front Royal, VA 22630-4644

Mailing address

247 Union View LN
Winchester, VA 22603-3340
Phone (800) 969-1104

Other practice location 1

247 Union View Ln
Winchester, VA 22603-3340
Phone (540) 539-6266

Other identifiers 1

IdentifierTypeStateIssuer
1518939008MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kareo

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210621000198 VA Part B Supplier - Clinic/Group Practice 4385044882 Receives reassigned benefits from 7 practitioners
Practice locations: Winchester, VA

National Provider Directory

National Provider Directory

Locations

3353 Michelson Dr
Ste 400
Irvine, CA 92612

2418 W Indian Trl
Ste F
Aurora, IL 60506

400 W Strasburg Rd
Front Royal, VA 22630
Phone (540) 303-1245

Practitioners & affiliated clinicians

Practitioners 9

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": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1679148589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 UNION VIEW LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226033340",
            "telephone_number": "800-969-1104",
            "fax_number": "703-763-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W STRASBURG RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226304644",
            "telephone_number": "800-969-1104",
            "fax_number": "703-763-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 Union View Ln",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226033340",
            "country_code": "US",
            "telephone_number": "540-539-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAJDEEP PARMAR MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "RAJDEEP",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "630-907-0578",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518939008",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "EMR Software",
            "address_1": "3353 Michelson Dr Ste 400",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926125611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.