Individual provider Active NPI

Gautam Ramakrishna, M.D.

  • Cardiovascular Disease Physician
  • Fairfax, VA
National Provider Identifier
1801896097
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101237937 Issued in VA
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

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
037554300MedicaidDC
1801896097MedicaidVA
407344400MedicaidMD
P00230443OtherDCRAILROAD MEDICARE DC #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gramakrishna26007@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20050801000499 DC Practitioner - Cardiovascular Disease (Cardiology) 8426043498 Reassigns benefits to 3 organizations
I20050804000854 VA Practitioner - Cardiovascular Disease (Cardiology) 8426043498 Reassigns benefits to 3 organizations

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
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

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 Hospital, Fairfax, VA, CCN 490101
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Inova Health Care Services CurrentSince Aug 1, 2005 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Northern Virginia Community Hospital LLC Cardiovascular Disease CurrentSince May 16, 2017 Accepting new patients
Inova Health Care Services CurrentSince Aug 1, 2005 Accepting new patients
The Cardiovascular Group, PC Cardiovascular Disease CurrentSince Jul 1, 2005 Accepting new patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Inova Health Care Services Current Accepting new patients
Northern Virginia Community Hospital, LLC CurrentSince May 16, 2017 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.