Individual provider Active NPI

Manisha Patel, DO

  • Obstetrics & Gynecology Physician
  • Reston, VA
National Provider Identifier
1801972500
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO0102201279 Issued in VA
Practice address
1800 Town Center Drive
Suite 222
Reston, VA 20190
Phone
(703) 834-6244
Fax
(703) 834-6288
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO0102201279 VA Primary

Addresses

Primary practice location

1800 Town Center Drive
Suite 222
Reston, VA 20190

Mailing address

11490 Commerce Park Dr # 525
Reston, VA 20191-1557
Phone (703) 834-6244

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
I20140527001165 DC Practitioner - Obstetrics/Gynecology 8628291382 Reassigns benefits to 3 organizations
I20140606001190 VA Practitioner - Obstetrics/Gynecology 8628291382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Physicians for OBGYN CareGroup PAC ID 7719428903, 2 clinicians

Practice addresses (Care Compare)

1800 Town Ctr Dr
Suite 222
Reston, VA 20190-3238
Phone (703) 834-6244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO0102201279VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for OBGYN Care Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 15, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 15, 2014 Accepting new patients
Medical Faculty Associates, Inc Obstetrics & Gynecology CurrentSince Feb 4, 2016 Accepting new patients

Locations

2021 K St NW
Ste 600
Washington, DC 20006
Phone (202) 741-3387

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

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

8644 Sudley Rd
#220
Manassas, VA 20110

1800 Town Center Dr
Ste 222
Reston, VA 20190
Phone (703) 834-6244

Interoperability endpoints

  • Direct secure messaging: manisha.patel.1@31204.direct.athenahealth.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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1801972500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 COMMERCE PARK DR # 525",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911557",
            "telephone_number": "703-834-6244",
            "fax_number": "703-834-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DRIVE",
            "address_2": "SUITE 222",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-834-6244",
            "fax_number": "703-834-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "DO0102201279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.