Progressive Medical Associates, LLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROGRESSIVE MEDICAL ASSOCIATES, LLC.

Practice address

2812 Old Lee Hwy Ste 210B
Fairfax, VA 22031-4367

Phone

(703) 876-6131

Fax

(703) 876-6009

NPI assigned

Nov 5, 2019

Last updated

Aug 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Namrata Prasad

Title

Office Administrator

Phone

(703) 470-1061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Tax ID family

Drcarpousismdltd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Progressive Medical Associates, LLC.

  • Health Maintenance Organization
  • Falls Church, VA
  • NPI 1245298744
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanti Prasad, M.D.

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1982646113

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1750925541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 OLD LEE HWY STE 210B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314367",
            "telephone_number": "703-876-6131",
            "fax_number": "703-876-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 OLD LEE HWY STE 210B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314367",
            "telephone_number": "703-876-6131",
            "fax_number": "703-876-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2841 Hartland Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220433500",
            "country_code": "US",
            "telephone_number": "703-876-6131",
            "fax_number": "703-876-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "NAMRATA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-470-1061"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Proctor, RPH
• Professional Sportscare & Rehab, LLC (Pivot Physical Therapy)
• Austin Progar, PHARMD
• Progenix LLC
• Progressive Dental Care
• Progressive Physical Therapy, LLC
• Project Health Corp
• Project Health Physical Therapy and Wellness LLC
• Pronto Therapy Group LLC
• Prospect Homecare Agency

• Internal Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.

Verify at the official NPI Registry.