NPIMap

Individual provider Active NPI

Javairiah Fatima, MD

  • Vascular Surgery Physician
  • Danbury, CT
National Provider Identifier
1801090964
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
80892 Issued in CT
Practice address
41 Germantown Rd Ste 101
Danbury, CT 06810-4087
Phone
(507) 250-5160
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 51906 MN
Vascular Surgery Physician 2086S0129X ME118845 FL
Vascular Surgery Physician 2086S0129X 80892 CT Primary

Addresses

Primary practice location

41 Germantown Rd Ste 101
Danbury, CT 06810-4087

Mailing address

7841 Montvale Way
MC Lean, VA 22102-2030
Phone (507) 250-5160

Other identifiers 3

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
012132000MedicaidFL
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, CT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191017001598 DC Practitioner - Vascular Surgery 7416094610 Reassigns benefits to 1 organization
I20230223003040 MD Practitioner - Vascular Surgery 7416094610 Reassigns benefits to 1 organization
I20250617002518 CT Practitioner - Vascular Surgery 7416094610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

41 Germantown Rd
Danbury, CT 06810-4087
Phone (203) 794-5680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51906MNMDSurgery Physician
80892CTMDVascular Surgery Physician
ME118845FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Surgery CurrentSince Jul 14, 2025 Accepting new patients
Washington Cardiovascular Institute LLC CurrentSince Mar 1, 2025 Accepting new patients
Washington Cardiovascular Institute LLC CurrentSince Mar 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Washington Hospital Center Past Accepting new patients

Locations

41 Germantown Rd
Danbury, CT 06810
Phone (203) 744-1680

41 Germantown Rd
Ste 101
Danbury, CT 06810
Phone (203) 399-0399

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

2041 Martin Luther King Jr Ave SE
Ste 103
Washington, DC 20020
Phone (202) 889-6020

351 W Camden St
Fl 201
Baltimore, MD 21201
Phone (410) 541-7800

75 Thomas Johnson Dr
Ste I
Frederick, MD 21702
Phone (301) 378-0608

7610 Carroll Ave
Ste 100
Takoma Park, MD 20912

Organizations & group practices 5

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 7

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1801090964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 MONTVALE WAY",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022030",
            "telephone_number": "507-250-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 GERMANTOWN RD STE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104087",
            "telephone_number": "507-250-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIMA",
        "first_name": "JAVAIRIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "51906",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME118845",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "80892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012132000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.