Nova Medical Services,PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0101237990 Issued in VA

Legal business name

NOVA MEDICAL SERVICES,PLLC

Practice address

4229 Lafayette Center Dr
Suite 1425
Chantilly, VA 20151-1261

Phone

(703) 961-1119

Fax

(703) 961-1159

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Neeraja Thathagari, M.DNPI 1104987049

Title

Owner

Phone

(703) 961-1119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

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.

• Neeraja Thathagari, M.D.

  • Internal Medicine Physician
  • South Riding, VA
  • NPI 1104987049

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194048000000",
    "number": "1679692974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201220734",
            "telephone_number": "703-961-1119",
            "fax_number": "703-961-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR",
            "address_2": "SUITE 1425",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511261",
            "telephone_number": "703-961-1119",
            "fax_number": "703-961-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL SERVICES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-11-03",
        "status": "A",
        "authorized_official_last_name": "THATHAGARI",
        "authorized_official_first_name": "NEERAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-961-1119",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101237990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern VA BH LLC (Northern Virginia Adolescent Treatment Center)
• Northern Virginia Center for Gastrointestinal Endoscopy,PLLC
• Northern Virginia Natural Birth Center and Wellness Community (NOVA Natural Birth Center)
• Nova Birth Services LLC
• Nova Clinical Counseling LLC
• Nova Neuro Brain Center
• Nova Pain & Rehab Center, PLLC
• Nova Prime Physical Therapy PLLC
• Nova Senior Home Care Inc. (ComForCare Home Care - Fairfax & Loudoun County)
• Nova Therapy Lounge, LLC

• Clinic/Center in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; 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.