Organization Active NPI

Capital Medical Specialties LLC

  • Psychiatry Physician
  • Sterling, VA
National Provider Identifier
1730404484
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101236578 Issued in VA
Legal business name
CAPITAL MEDICAL SPECIALTIES LLC
Practice address
43459 Stukely Dr
Sterling, VA 20166-2130
Phone
(703) 439-0303
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Swarna B Reddy, MD
Title
Owner
Phone
(703) 439-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0101236578 VA Primary

Addresses

Primary practice location

43459 Stukely Dr
Sterling, VA 20166-2130

Mailing address

43459 Stukely Dr
Sterling, VA 20166-2130
Phone (703) 369-8055

National Provider Directory

National Provider Directory

Locations

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1730404484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43459 STUKELY DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662130",
            "telephone_number": "703-369-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43459 STUKELY DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662130",
            "telephone_number": "703-439-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL MEDICAL SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SWARNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-439-0303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101236578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.