Active NPI
Supriya Varma, M.D., F.A.C.O.G.
- Specialist
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101057579
- Practice address
- 1860 Town Center Dr
Suite 240
Reston, VA 20190-5896 - Phone
- (703) 352-3344
- Fax
- (703) 796-1918
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101057579 | VA | Primary |
Addresses
Primary practice location
1860 Town Center Dr
Suite 240
Reston, VA 20190-5896
Mailing address
1860 Town Center Dr
Suite 240
Reston, VA 20190-5896
Phone (703) 352-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Virginia, LLC | Current | Accepting new patients | |
| Gazelle Clinical System, Inc. | Current | Accepting new patients | |
| Tepeyac Family Center, LLC | Current | Accepting new patients | |
| Avant Innovative Therapy LLC | Current | Accepting new patients |
Locations
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
4001 Fair Ridge Dr
Ste 304
Fairfax, VA 22033
Phone (301) 648-5464
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1860 Town Center Dr
Ste 240
Reston, VA 20190
Phone (703) 327-1662
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Great Falls, VA
- NPI 1255154886
-
- Clinical Medical Laboratory
- Reston, VA
- NPI 1760335210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689773731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 TOWN CENTER DR",
"address_2": "SUITE 240",
"city": "RESTON",
"state": "VA",
"postal_code": "201905896",
"telephone_number": "703-352-3344",
"fax_number": "703-796-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 TOWN CENTER DR",
"address_2": "SUITE 240",
"city": "RESTON",
"state": "VA",
"postal_code": "201905896",
"telephone_number": "703-352-3344",
"fax_number": "703-796-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARMA",
"first_name": "SUPRIYA",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.O.G.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101057579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.