NPIMap

Individual provider Active NPI

Anup Manoharan, M.D.

  • Nephrology Physician
  • Fairfax, VA
National Provider Identifier
1700954252
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101248980 Issued in VA
Practice address
8316 Arlington Blvd
Suite 104
Fairfax, VA 22031-5207
Phone
(703) 560-1313
Fax
(703) 876-0824
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101248980 VA Primary

Addresses

Primary practice location

8316 Arlington Blvd
Suite 104
Fairfax, VA 22031-5207

Mailing address

4915 Auburn Ave
Suite 200
Bethesda, MD 20814-2636
Phone (301) 907-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110728000228 DC Practitioner - NephrologyPractitioner - Internal Medicine 0547224347 Reassigns benefits to 1 organization
I20120827000291 VA Practitioner - NephrologyPractitioner - Internal Medicine 0547224347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Nephrology Associates LLPGroup PAC ID 8527951318, 31 clinicians

Practice addresses (Care Compare)

2030 Opitz Blvd
Woodbridge, VA 22191-3306
Phone (703) 490-9080

4141 A Duke St
Alexandria, VA 22304-2415
Phone (703) 461-3556

8316 Arlington Blvd
Fairfax, VA 22031-5216
Phone (703) 560-1313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Aug 1, 2011 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients

Locations

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020

8316 Arlington Blvd
Ste 104
Fairfax, VA 22031
Phone (703) 560-1313

21495 Ridgetop Cir
Ste 102
Sterling, VA 20166
Phone (703) 404-5900

2030 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 490-9080

Interoperability endpoints

  • Direct secure messaging: amanoharan17138@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1700954252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3939",
            "fax_number": "301-656-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 104",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-560-1313",
            "fax_number": "703-876-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOHARAN",
        "first_name": "ANUP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101248980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.