NPIMap

Organization Active NPI

Lansdowne Travel and Family Medicine LLC

  • Family Medicine Physician
  • Lansdowne, VA
National Provider Identifier
1831278738
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101232243 Issued in VA
Legal business name
LANSDOWNE TRAVEL AND FAMILY MEDICINE LLC
Practice address
19415 Deerfield Ave
Suite 103
Lansdowne, VA 20176-8452
Phone
(571) 223-3833
Fax
(877) 260-8179
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Rajiv Kumar Aggarwal, M.D.NPI 1518146554
Title
President
Phone
(571) 223-3833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101232243 VA Primary

Addresses

Primary practice location

19415 Deerfield Ave
Suite 103
Lansdowne, VA 20176-8452

Mailing address

19415 Deerfield Ave
Suite 103
Lansdowne, VA 20176-8452
Phone (571) 223-3833

Other identifiers 1

IdentifierTypeStateIssuer
010103878MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041022000094 VA Part B Supplier - Clinic/Group Practice 8022079144 Receives reassigned benefits from 1 practitioner
Practice locations: Leesburg, VA; Reston, VA
O20050228000592 DC Part B Supplier - Clinic/Group Practice 8022079144 Receives reassigned benefits from 3 practitioners
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Locations

19415 Deerfield Ave
Ste 103
Leesburg, VA 20176
Phone (571) 351-4833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCJCA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1831278738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "SUITE 103",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "571-223-3833",
            "fax_number": "877-260-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "SUITE 103",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "571-223-3833",
            "fax_number": "877-260-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSDOWNE TRAVEL AND FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-223-3833",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101232243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010103878",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.