Individual provider Active NPI

Nima Madanchi, MD

  • Student in an Organized Health Care Education/Training Program
  • Washington, DC
National Provider Identifier
1780198531
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
110 Irving St NW
Washington, DC 20010-3017
Phone
(855) 546-1686
NPI assigned
Nov 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MTL004213 DC
Student in an Organized Health Care Education/Training Program 390200000X MD Primary

Addresses

Primary practice location

110 Irving St NW
Washington, DC 20010-3017

Mailing address

8750 Georgia Ave Apt 712B
Silver Spring, MD 20910-3668
Phone (202) 412-1077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20240501003621 VA Practitioner - Rheumatology 7113344078 Reassigns benefits to 1 organization
I20260419000065 DC Practitioner - RheumatologyPractitioner - Internal Medicine 7113344078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Health Care Center, PLLCGroup PAC ID 3072662527, 7 clinicians

Practice addresses (Care Compare)

5249 Duke St
Suite 100
Alexandria, VA 22304-2907
Phone (703) 658-2650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MTL004213DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Washington Arthritis Rheumatology & Octeoporosis Ctr CurrentSince Mar 23, 2024 Accepting new patients
Arthritis Care Center PC PastSince Mar 23, 2024 Accepting new patients

Locations

245 Garrisonville Rd
Ste 101
Stafford, VA 22554
Phone (703) 492-6660

14904 Richmond Hwy
Ste 203
Woodbridge, VA 22191
Phone (703) 492-6660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBIBAA
  • Direct secure messaging: nmadanchi1017710@direct.hopkinsmedicine.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1780198531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 GEORGIA AVE APT 712B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103668",
            "telephone_number": "202-412-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "855-546-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANCHI",
        "first_name": "NIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MTL004213",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.