Active NPI
Gautam Ramakrishna, M.D.
- Cardiovascular Disease Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101237937
- Practice address
- 3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764 - Phone
- (703) 648-3266
- Fax
- (703) 648-3264
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101237937 | VA | Primary |
Addresses
Primary practice location
3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764
Mailing address
2901 Telestar CT.
#300
Falls Church, VA 22042-1263
Phone (703) 591-1688
Other practice location 1
24430 Stone Springs Blvd # 425
Dulles, VA 20166-2247
Phone (703) 722-5860
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037554300 | Medicaid | DC | |
| 1801896097 | Medicaid | VA | |
| 407344400 | Medicaid | MD | |
| P00230443 | Other | DC | RAILROAD MEDICARE DC # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gramakrishna26007@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Icahn School of Medicine at Mount Sinai, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1005 N Glebe Rd
Arlington, VA 22201-5766
224 A Cornwall St NW
Suite 3.024
Leesburg, VA 20176-2701
Phone (703) 771-2837
224 B Cornwall NWST
Leesburg, VA 20176-2701
224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894
24430 Stone Springs Blvd
Suite 425
Dulles, VA 20166-2247
Phone (703) 722-5860
24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone (703) 395-8640
2901 Telestar CT
Falls Church, VA 22042-1260
2901 Telestar CT
Suite 200
Falls Church, VA 22042-1262
Phone (703) 573-3494
3300 Gallows Rd
Falls Church, VA 22042-3307
3580 Joseph Siewick Dr
Fairfax, VA 22033-1764
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
4320 Seminary Rd
Alexandria, VA 22304-1535
44035 Riverside Pkwy
Leesburg, VA 20176-8260
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
4825 Mark Ctr Dr
Suite 150
Alexandria, VA 22311-1846
Phone (703) 751-8111
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446
9321 Sanger St
Lorton, VA 22079-2720
Hospital & facility affiliations
- Inova Fair Oaks Hospital
- Inova Fairfax Hospital
- Inova Loudoun Hospital
- Inova Alexandria Hospital
- Inova Mount Vernon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reston Hospital Center, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Northern Virginia Community Hospital LLC | Cardiovascular Disease | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| The Cardiovascular Group, PC | Cardiovascular Disease | Current | Accepting new patients |
| Reston Hospital Center, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Northern Virginia Community Hospital, LLC | Current | Accepting new patients |
Locations
24430 Stone Springs Blvd
Ste 425
Dulles, VA 20166
Phone (703) 722-5860
3580 Joseph Siewick Dr
Ste 305
Fairfax, VA 22033
Phone (703) 648-3266
3620 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-3266
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688
2901 Telestar Ct
Ste 600
Falls Church, VA 22042
Phone (703) 621-4503
44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44055 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530
120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
130 Park St SE
Ste 100
Vienna, VA 22180
Phone (703) 281-1265
1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265
Interoperability endpoints
- gramakrishna26007@soc.inova.org
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Dulles, VA
- NPI 1669923967
-
- Substance Abuse Rehabilitation Facility
- Falls Church, VA
- NPI 1588717755
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Psychiatric Hospital Unit
- Dulles, VA
- NPI 1881367217
-
- Rehabilitation Hospital Unit
- Reston, VA
- NPI 1538650999
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
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": "1630022400000",
"number": "1801896097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 TELESTAR CT.",
"address_2": "#300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421263",
"telephone_number": "703-591-1688",
"fax_number": "703-591-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 JOSEPH SIEWICK DR STE 305",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331764",
"telephone_number": "703-648-3266",
"fax_number": "703-648-3264"
}
],
"practiceLocations": [
{
"address_1": "24430 Stone Springs Blvd # 425",
"address_purpose": "LOCATION",
"city": "Dulles",
"state": "VA",
"postal_code": "201662247",
"country_code": "US",
"telephone_number": "703-722-5860",
"fax_number": "703-722-5861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMAKRISHNA",
"first_name": "GAUTAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101237937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037554300",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801896097",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407344400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE DC #",
"identifier": "P00230443",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gramakrishna26007@soc.inova.org",
"affiliation": "N",
"address_1": "3580 Joseph Siewick Dr Ste 305",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220331764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.