Individual provider Active NPI

Suchithra A Nancherla, M. D

  • Endocrinology, Diabetes & Metabolism Physician
  • Falls Church, VA
National Provider Identifier
1851312995
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
010141874 Issued in VA
Practice address
103 W Broad St
Suite# 120
Falls Church, VA 22046-4235
Phone
(703) 534-6002
Fax
(703) 534-7472
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 010141874 VA Primary

Addresses

Primary practice location

103 W Broad St
Suite# 120
Falls Church, VA 22046-4235

Mailing address

103 W Broad St
Suite# 120
Falls Church, VA 22046-4235
Phone (703) 534-6002

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
I20061201000530 DC Practitioner - EndocrinologyPractitioner - Internal Medicine 4385642263 Reassigns benefits to 1 organization
I20140707001847 VA Practitioner - Internal MedicinePractitioner - Endocrinology 4385642263 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010141874VAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 30, 2013 Accepting new patients
Privia Medical Group, LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 30, 2013 Accepting new patients
Diabetes & Endocrine Care Associates,PLLC Endocrinology, Diabetes & Metabolism PastSince Oct 10, 2006 Accepting new patients

Locations

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

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

103 W Broad St
Ste 120
Falls Church, VA 22046
Phone (703) 534-6002

8644 Sudley Rd
#220
Manassas, VA 20110

Organizations & group practices 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1851312995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W BROAD ST",
            "address_2": "SUITE# 120",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464235",
            "telephone_number": "703-534-6002",
            "fax_number": "703-534-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W BROAD ST",
            "address_2": "SUITE# 120",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464235",
            "telephone_number": "703-534-6002",
            "fax_number": "703-534-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCHERLA",
        "first_name": "SUCHITHRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "010141874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.