Active NPI
Balraj Dhillon, MD
- Psychiatry Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101236602
- Practice address
- 8680 Hospital Way
Manassas, VA 20110-4287 - Phone
- (703) 369-8464
- Fax
- (703) 369-8467
- NPI assigned
- Aug 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101236602 | VA | Primary |
Addresses
Primary practice location
8680 Hospital Way
Manassas, VA 20110-4287
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 369-8464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780677989 | Medicaid | VA |
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
- Psychiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13505 Dulles Technology Dr
Suite 1a
Herndon, VA 20171-3403
Phone (703) 773-0447
19415 Deerfield Ave
Suite 310
Lansdowne, VA 20176-8472
Phone (703) 773-0447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236602 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Psychiatry PC | Psychiatry | Current | Accepting new patients |
Locations
12475 Route 50
Fairfax, VA 22033
Phone (703) 352-7172
13505 Dulles Technology Dr
Ste 1A
Herndon, VA 20171
Phone (703) 404-5900
19415 Deerfield Ave
Ste 115
Leesburg, VA 20176
Phone (703) 729-2626
19415 Deerfield Ave
Ste 310
Leesburg, VA 20176
Phone (703) 726-6393
170 W Shirley Ave
Ste 208
Warrenton, VA 20186
Phone (703) 773-0447
Organizations & group practices 1
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": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1780677989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "703-369-8464",
"fax_number": "703-369-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8680 HOSPITAL WAY",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104287",
"telephone_number": "703-369-8464",
"fax_number": "703-369-8467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHILLON",
"first_name": "BALRAJ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101236602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780677989",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.