Individual provider Active NPI

Nandita K Aghara, PA

  • Physician Assistant
  • Broadlands, VA
National Provider Identifier
1700618725
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010299 Issued in VA
Practice address
43135 Broadlands Center PLZ Ste 123
Broadlands, VA 20148-3804
Phone
(571) 206-0742
Fax
(571) 206-0743
NPI assigned
Aug 19, 2024
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110010299 VA Primary

Addresses

Primary practice location

43135 Broadlands Center PLZ Ste 123
Broadlands, VA 20148-3804

Mailing address

43135 Broadlands Center PLZ Ste 123
Broadlands, VA 20148-3804
Phone (571) 206-0742

Other practice location 1

8609 Sudley Rd
Manassas, VA 20110-8321
Phone (703) 393-8883

Other identifiers 2

IdentifierTypeStateIssuer
30018032560001MedicaidVA
1700618725MedicaidVA

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241011002358 DC Practitioner - Physician Assistant 3678005923 Reassigns benefits to 2 organizations
I20260409001327 VA Practitioner - Physician Assistant 3678005923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

43135 Broadlands Ctr PLZ
Suite 123
Broadlands, VA 20148-3804
Phone (571) 206-0742

6671 A Backlick Rd
Springfield, VA 22150-2702
Phone (571) 286-5592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110010299VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Ucc LLC CurrentSince Mar 2, 2026 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 27, 2024 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 27, 2024 Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

43135 Broadlands Center Plz
Ste 123
Broadlands, VA 20148
Phone (571) 206-0742

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

12005 Sunrise Valley Dr
Ste 120
Reston, VA 20191
Phone (571) 375-7174

6671A Backlick Rd
Springfield, VA 22150
Phone (571) 286-5592

Interoperability endpoints

  • Direct secure messaging: nandita.aghara.1@3238.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1700618725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43135 BROADLANDS CENTER PLZ STE 123",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483804",
            "telephone_number": "571-206-0742",
            "fax_number": "571-206-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43135 BROADLANDS CENTER PLZ STE 123",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483804",
            "telephone_number": "571-206-0742",
            "fax_number": "571-206-0743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8609 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201108321",
            "country_code": "US",
            "telephone_number": "703-393-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGHARA",
        "first_name": "NANDITA",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018032560001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700618725",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadlands, VA

Sources for this page

Verify at the official NPI Registry.