Active NPI
Nephrology & Hypertension of Virginia,PLLC
- Nephrology Physician
- Reston, VA
National Provider Identifier
1780161687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY & HYPERTENSION OF VIRGINIA,PLLC
- Practice address
- 1897 Preston White Dr Ste 105
Reston, VA 20191-5475 - Phone
- (703) 468-1270
- NPI assigned
- Jul 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neeraja Tandra
- Title
- Provider/Owner
- Phone
- (703) 468-1270
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1897 Preston White Dr Ste 105
Reston, VA 20191-5475
Mailing address
PO Box 23809
Belfast, ME 04915-4489
Other practice location 1
19415 Deerfield Ave Ste 103
Leesburg, VA 20176-8470
Phone (703) 468-1270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821201385 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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": "1532390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640563200000",
"number": "1780161687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23809",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1897 PRESTON WHITE DR STE 105",
"city": "RESTON",
"state": "VA",
"postal_code": "201915475",
"telephone_number": "703-468-1270"
}
],
"practiceLocations": [
{
"address_1": "19415 Deerfield Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201768470",
"country_code": "US",
"telephone_number": "703-468-1270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEPHROLOGY & HYPERTENSION OF VIRGINIA,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-24",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A",
"authorized_official_last_name": "TANDRA",
"authorized_official_first_name": "NEERAJA",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "703-468-1270"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821201385",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.