Individual provider Active NPI

Priya Dnyanesh Ghadge, M.D

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1790916039
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101245911 Issued in VA
Practice address
13168 Centerpointe Way
Suite 101
Woodbridge, VA 22193-5287
Phone
(703) 730-2000
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101245911 VA Primary

Addresses

Primary practice location

13168 Centerpointe Way
Suite 101
Woodbridge, VA 22193-5287

Mailing address

14143 Lotus LN Apt 1434
Centreville, VA 20120-6388
Phone (813) 928-1682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150915000191 DC Practitioner - Family Practice 1850522202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

6355 Walker Lane
Alexandria, VA 22310-3247
Phone (703) 971-0505

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 1, 2017 Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6355 Walker Ln
Ste 303
Alexandria, VA 22310
Phone (703) 751-5763

Interoperability endpoints

  • Direct secure messaging: priya.ghadge.1@8042.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1790916039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14143 LOTUS LN APT 1434",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201206388",
            "telephone_number": "813-928-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13168 CENTERPOINTE WAY",
            "address_2": "SUITE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935287",
            "telephone_number": "703-730-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADGE",
        "first_name": "PRIYA",
        "middle_name": "DNYANESH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.