Organization Active NPI

Arlington OB-GYN, PC

  • Obstetrics & Gynecology Physician
  • Arlington, VA
National Provider Identifier
1760489231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101234648 Issued in VA
Legal business name
ARLINGTON OB-GYN, PC
Practice address
1715 N George Mason Dr
Arlington, VA 22205-3662
Phone
(703) 528-4211
Fax
(703) 528-4233
NPI assigned
Jun 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Deepali Kothary, M.D.NPI 1437153111
Title
President
Phone
(703) 528-4211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101234648 VA Primary

Addresses

Primary practice location

1715 N George Mason Dr
Arlington, VA 22205-3662

Mailing address

PO Box 1400
Fairfax, VA 22038-1400
Phone (703) 383-9543

National Provider Directory

National Provider Directory

Locations

1715 N George Mason Dr
Ste 207
Arlington, VA 22205
Phone (571) 378-2236

611 S Carlin Springs Rd
Ste 509
Arlington, VA 22204
Phone (703) 528-4211

11490 Commerce Park Dr
#525
Reston, VA 20191

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760489231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220381400",
            "telephone_number": "703-383-9543",
            "fax_number": "703-383-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053662",
            "telephone_number": "703-528-4211",
            "fax_number": "703-528-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON OB-GYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTHARY",
        "authorized_official_first_name": "DEEPALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-528-4211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101234648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.