Organization Active NPI

Bluerock Primary Care

  • Adult Medicine Physician
  • Washington, DC
National Provider Identifier
1831719806
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
BLUEROCK PRIMARY CARE
Practice address
3230 Pennsylvania Ave SE Ste 205
Washington, DC 20020-3731
Phone
(202) 796-9775
NPI assigned
Apr 20, 2020
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Alka GuptaNPI 1326363870
Title
Administrator
Phone
(571) 246-1709

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
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

3230 Pennsylvania Ave SE Ste 205
Washington, DC 20020-3731

Mailing address

3230 Pennsylvania Ave SE Ste 205
Washington, DC 20020-3731
Phone (202) 796-9775

Other identifiers 1

IdentifierTypeStateIssuer
052623375MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200429000005 DC Part B Supplier - Clinic/Group Practice 3072943323 Receives reassigned benefits from 6 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

3230 Pennsylvania Ave SE
Ste 205
Washington, DC 20020
Phone (202) 796-9775

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1831719806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 PENNSYLVANIA AVE SE STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203731",
            "telephone_number": "202-796-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 PENNSYLVANIA AVE SE STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203731",
            "telephone_number": "202-796-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEROCK PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ALKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-246-1709"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052623375",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.