Active NPI
Gauri Raizada, P.A.
- Physician Assistant
- Lansdowne, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004887
- Practice address
- 19490 Sandridge Way Ste 210
Lansdowne, VA 20176-3467 - Phone
- (571) 223-5723
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004887 | VA | Primary |
Addresses
Primary practice location
19490 Sandridge Way Ste 210
Lansdowne, VA 20176-3467
Mailing address
19490 Sandridge Way Ste 210
Lansdowne, VA 20176-3467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851625875 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wayne State University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3558
Hospital & facility affiliations
- Inova Fair Oaks Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
19490 Sandridge Way
Ste 210
Leesburg, VA 20176
Phone (703) 723-7504
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
8644 Sudley Rd
#220
Manassas, VA 20110
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Leesburg, VA
- NPI 1679591440
-
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1851625875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19490 SANDRIDGE WAY STE 210",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201763467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19490 SANDRIDGE WAY STE 210",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201763467",
"telephone_number": "571-223-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIZADA",
"first_name": "GAURI",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851625875",
"state": "MI"
}
],
"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 Nov 27, 2017; 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.