Active NPI
Bharath Dwaraka Nath, MD PHD
- Pediatric Surgery Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 0101265162
- Practice address
- 8260 Willow Oaks Corporate Dr Ste 400
Fairfax, VA 22031-4513 - Phone
- (703) 560-2236
- Fax
- (571) 665-6834
- NPI assigned
- Jul 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101265162 | VA | |
| Pediatric Surgery Physician | 2086S0120X | 0101265162 | VA | Primary |
Addresses
Primary practice location
8260 Willow Oaks Corporate Dr Ste 400
Fairfax, VA 22031-4513
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
2730 Prosperity Ave Ste C
Fairfax, VA 22031
Phone (703) 560-2236
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101265162 | VA | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380
8260 Willow Oaks Corporate Dr
Ste 400
Fairfax, VA 22031
Phone (703) 560-2236
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
2730 Prosperity Ave
Ste C
Fairfax, VA 22031
Phone (703) 226-2280
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- bnath602188@soc.inova.org
Organizations & group practices 2
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.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1811275407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8260 WILLOW OAKS CORPORATE DR STE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314513",
"telephone_number": "703-560-2236",
"fax_number": "571-665-6834"
}
],
"practiceLocations": [
{
"address_1": "2730 Prosperity Ave Ste C",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "22031",
"country_code": "US",
"telephone_number": "703-560-2236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATH",
"first_name": "BHARATH",
"middle_name": "DWARAKA",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-29",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101265162",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "VA",
"license": "0101265162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 27, 2022; 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.