Active NPI
Nisha Patel MD PC
- Ophthalmology Physician
- Vienna, VA
National Provider Identifier
1730502808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NISHA PATEL MD PC
- Practice address
- 407 Church St NE
Suite E
Vienna, VA 22180-4737 - Phone
- (703) 242-8200
- NPI assigned
- Jan 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nisha Raman Patel, MD
- Title
- Owner
- Phone
- (703) 242-8200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
407 Church St NE
Suite E
Vienna, VA 22180-4737
Mailing address
407 Church St NE
Suite E
Vienna, VA 22180-4737
Phone (703) 242-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5900 Fort Dr
Ste 4
Centreville, VA 20121
407 Church St NE
Ste E
Vienna, VA 22180
Phone (301) 571-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390780800000",
"number": "1730502808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 CHURCH ST NE",
"address_2": "SUITE E",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804737",
"telephone_number": "703-242-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CHURCH ST NE",
"address_2": "SUITE E",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804737",
"telephone_number": "703-242-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NISHA PATEL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "NISHA",
"authorized_official_middle_name": "RAMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-242-8200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.