Individual provider Active NPI

Trupti Patel, M.D.

  • Family Medicine Physician
  • Ashburn, VA
National Provider Identifier
1780684191
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101236469 Issued in VA
Practice address
21035 Sycolin Road, Suite 180
Ashburn, VA 20147-4311
Phone
(703) 783-5673
Fax
(703) 297-8100
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 0101236469 VA
Family Medicine Physician 207Q00000X 0101236469 VA Primary

Addresses

Primary practice location

21035 Sycolin Road, Suite 180
Ashburn, VA 20147-4311

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6001

Other practice location 1

25055 Riding Plz
Suite 220
South Riding, VA 20152-5917
Phone (703) 722-5840

Other practice location 2

25055 Riding Plz Ste 230
Chantilly, VA 20152-5920
Phone (757) 406-6645

Other identifiers 1

IdentifierTypeStateIssuer
1780684191MedicaidVA

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
I20040910000283 VA Practitioner - Family Practice 6800863812 Reassigns benefits to 1 organization
I20180524000919 DC Practitioner - Family Practice 6800863812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

1313 Dolley Madison Blvd
Suite 104
MC Lean, VA 22101-3926
Phone (703) 783-5673

21035 Sycolin Rd
Suite 180
Ashburn, VA 20147-4098
Phone (703) 783-5673

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101236469VAMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients
Loudoun Medical Group, PC CurrentSince Jun 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

21035 Sycolin Rd
Ste 180
Ashburn, VA 20147
Phone (703) 783-5673

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

3700 Joseph Siewick Dr
Ste 106
Fairfax, VA 22033
Phone (571) 724-4400

7564 Gardner Park Dr
Gainesville, VA 20155
Phone (571) 561-3400

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

44055 Riverside Pkwy
Ste 208
Leesburg, VA 20176
Phone (703) 729-7652

1313 Dolley Madison Blvd
Ste 104
McLean, VA 22101
Phone (703) 263-8282

Interoperability endpoints

  • Direct secure messaging: trupti.patel@lmg1.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1780684191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21035 SYCOLIN ROAD, SUITE 180",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474311",
            "telephone_number": "703-783-5673",
            "fax_number": "703-297-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25055 Riding Plz",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "South Riding",
            "state": "VA",
            "postal_code": "201525917",
            "country_code": "US",
            "telephone_number": "703-722-5840",
            "fax_number": "703-722-5821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25055 Riding Plz Ste 230",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201525920",
            "country_code": "US",
            "telephone_number": "757-406-6645",
            "fax_number": "703-753-7870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TRUPTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "VA",
            "license": "0101236469",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780684191",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.