Individual provider Active NPI

Jyothi Gadde, M.D., P.A.

  • Allergy & Immunology Physician
  • Warrenton, VA
National Provider Identifier
1770501652
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101056351 Issued in VA
Practice address
493 Blackwell Rd
305
Warrenton, VA 20186-2639
Phone
(540) 428-1715
Fax
(540) 428-1716
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101056351 VA Primary

Addresses

Primary practice location

493 Blackwell Rd
305
Warrenton, VA 20186-2639

Mailing address

493 Blackwell Rd
305
Warrenton, VA 20186-2639
Phone (540) 428-1715

Other identifiers 1

IdentifierTypeStateIssuer
007603436MedicaidVA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040827000189 DC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2365417029 Reassigns benefits to 1 organization
I20041110000475 VA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2365417029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jyothi Gadde MD PAGroup PAC ID 5092765461, 3 clinicians

Practice addresses (Care Compare)

13135 Lee Jackson Memorial Hwy
Suite 110
Fairfax, VA 22033-1909
Phone (703) 648-0015

493 Blackwell Rd
Suite 305
Warrenton, VA 20186-2628

7330 Heritage Village PLZ
Unit 102
Gainesville, VA 20155-3087
Phone (571) 248-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jyothi Gadde MD PA CurrentSince Jan 1, 1988 Accepting new patients
Jyothi Gadde M.D., P.a. CurrentSince Jan 1, 2004 Accepting new patients
Hearing Assessment Center LLC PastSince Sep 21, 2019 Accepting new patients

Locations

13901 Metrotech Dr
Chantilly, VA 20151
Phone (540) 428-1715

124 Sycamore St
Culpeper, VA 22701
Phone (540) 428-1715

13135 Lee Jackson Hwy
Ste 110
Fairfax, VA 22033
Phone (703) 436-1010

840 John Marshall Hwy
Ste A
Front Royal, VA 22630
Phone (540) 636-8332

7330 Heritage Village Plz
Unit 102
Gainesville, VA 20155
Phone (540) 428-1715

400C Hospital Dr
Warrenton, VA 20186
Phone (540) 341-7172

493 Blackwell Rd
Ste 305
Warrenton, VA 20186
Phone (540) 341-1728

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1770501652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD",
            "address_2": "305",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862639",
            "telephone_number": "540-428-1715",
            "fax_number": "540-428-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACKWELL RD",
            "address_2": "305",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862639",
            "telephone_number": "540-428-1715",
            "fax_number": "540-428-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDE",
        "first_name": "JYOTHI",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101056351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007603436",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.