Individual provider Active NPI

Gurvikram Boparai, DPM

  • Podiatrist
  • Woodbridge, VA
National Provider Identifier
1740705888
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301329 Issued in VA
Practice address
14605 Potomac Branch Dr Ste 300
Woodbridge, VA 22191-3337
Phone
(703) 490-1112
NPI assigned
Aug 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301329 VA
Podiatrist 213E00000X 0103301329 VA Primary

Addresses

Primary practice location

14605 Potomac Branch Dr Ste 300
Woodbridge, VA 22191-3337

Mailing address

14605 Potomac Branch Dr
Woodbridge, VA 22191-3336
Phone (703) 490-1112

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 776-4001

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210609002992 DC Practitioner - Podiatry 1759781974 Reassigns benefits to 1 organization
I20210610001910 VA Practitioner - Podiatry 1759781974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, shared by 42 NPIs, 599 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 300
Woodbridge, VA 22191-3337
Phone (703) 490-1112

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 766-4001

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions1-10
Removal of nail tissue144
Removal or shaving of skin growth136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301329VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics LLC Podiatrist Current Accepting new patients

Locations

6720B Rockledge Dr
Ste 500
Bethesda, MD 20817
Phone (205) 427-0817

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

14348 Gideon Dr
Woodbridge, VA 22192
Phone (703) 490-1112

14605 Potomac Branch Dr
Woodbridge, VA 22191
Phone (703) 490-1112

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

12825 Minnieville Rd
Ste 204
Woodbridge, VA 22192
Phone (703) 357-9568

Interoperability endpoints

  • Direct secure messaging: 13guboparai@cfaortho.emadirect.md

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.

Hospital & facility affiliations 3

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1740705888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 POTOMAC BRANCH DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913336",
            "telephone_number": "703-490-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14605 POTOMAC BRANCH DR STE 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913337",
            "telephone_number": "703-490-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "22042",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOPARAI",
        "first_name": "GURVIKRAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301329",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.