Organization Active NPI

Metropolitan Liver Diseases Gastroenterology Center

  • Gastroenterology Physician
  • Fairfax, VA
National Provider Identifier
1750429213
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
33131 Issued in VA
Legal business name
METROPOLITAN LIVER DISEASES GASTROENTEROLOGY CENTER
Practice address
8316 Arlington Blvd
Suite 515
Fairfax, VA 22031-5207
Phone
(703) 698-9254
Fax
(703) 698-9256
NPI assigned
Feb 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Vinod Kumar Rustgi, M.D.
Title
President
Phone
(703) 698-9254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 33131 VA Primary

Addresses

Primary practice location

8316 Arlington Blvd
Suite 515
Fairfax, VA 22031-5207

Mailing address

8316 Arlington Blvd
Suite 515
Fairfax, VA 22031-5207
Phone (703) 698-9254

Other identifiers 1

IdentifierTypeStateIssuer
DA7118OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

8316 Arlington Blvd
#S515
Fairfax, VA 22031
Phone (703) 698-9254

21475 Ridgetop Cir
Ste 210
Sterling, VA 20166
Phone (703) 421-1900

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": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1750429213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 515",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-698-9254",
            "fax_number": "703-698-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 515",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-698-9254",
            "fax_number": "703-698-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN LIVER DISEASES GASTROENTEROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RUSTGI",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-698-9254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "33131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7118",
            "state": null
        }
    ],
    "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 Oct 31, 2007; 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.