Individual provider Active NPI

Simran K Chhabra

  • Foot & Ankle Surgery Podiatrist
  • Falls Church, VA
National Provider Identifier
1841853041
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301410 Issued in VA
Practice address
104A E Broad St Ste a
Falls Church, VA 22046-4501
Phone
(703) 237-1555
NPI assigned
Apr 15, 2019
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301410 VA Primary

Addresses

Primary practice location

104A E Broad St Ste a
Falls Church, VA 22046-4501

Mailing address

49 Hawthorne Dr
West Windsor, NJ 08550-2031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220615000197 NY Practitioner - Podiatry 8426437815 Reassigns benefits to 1 organization
I20230830000079 VA Practitioner - Podiatry 8426437815 Reassigns benefits to 1 organization
I20230831000507 DC Practitioner - Podiatry 8426437815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

104 A E Broad St
Falls Church, VA 22046-4501
Phone (703) 237-1555

104 E Broad St
Suite a
Falls Church, VA 22046-4501
Phone (703) 237-1555

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions16
Removal of nail tissue300
Removal or shaving of skin growth419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Foot & Ankle Surgery CurrentSince Oct 1, 2023 Accepting new patients
Privia Medical Group, LLC Foot & Ankle Surgery CurrentSince Aug 27, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

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

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

104A E Broad St
Ste A
Falls Church, VA 22046
Phone (703) 237-1555

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: simran.chhabra.1@8042.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1841853041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HAWTHORNE DR",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085502031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104A E BROAD ST STE A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464501",
            "telephone_number": "703-237-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "SIMRAN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.