Individual provider Active NPI

Rajiv Baveja, MD, PHD

  • Neonatal-Perinatal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1750371019
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
0101241672 Issued in VA
Practice address
2730 Prosperity Ave Ste B
Fairfax, VA 22031-4324
Phone
(703) 289-1400
Fax
(703) 789-1414
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 0101241672 VA Primary

Addresses

Primary practice location

2730 Prosperity Ave Ste B
Fairfax, VA 22031-4324

Mailing address

2730 Prosperity Ave Ste B
Fairfax, VA 22031-4324
Phone (703) 289-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0101241672VAMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1750371019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PROSPERITY AVE STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314324",
            "telephone_number": "703-289-1400",
            "fax_number": "703-789-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PROSPERITY AVE STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314324",
            "telephone_number": "703-289-1400",
            "fax_number": "703-789-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVEJA",
        "first_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "MD,  PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VA",
            "license": "0101241672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.