Active NPI
Nima Madanchi, MD
- Student in an Organized Health Care Education/Training Program
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Georgetown University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MTL004213 | DC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Washington Arthritis Rheumatology & Octeoporosis Ctr | Current | Accepting new patients | |
| Arthritis Care Center PC | Past | 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
- https://fhir4.healow.com/fhir/r4/BBIBAA
- 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.
-
- Rheumatology Physician
- Woodbridge, VA
- NPI 1366895567
-
- Rheumatology Physician
- Woodbridge, VA
- NPI 1033171491
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.