NPIMap

Organization Active NPI

Northstar Health Inc

  • Internal Medicine Physician
  • Ashburn, VA
National Provider Identifier
1861094096
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTHSTAR HEALTH INC
Practice address
43109 Unison Knoll Cir
Ashburn, VA 20148-7136
Phone
(702) 492-9439
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Prita Bhardwaj, MDNPI 1790092922
Title
Owner
Phone
(703) 659-7773

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

43109 Unison Knoll Cir
Ashburn, VA 20148-7136

Mailing address

43109 Unison Knoll Cir
Ashburn, VA 20148-7136

Other identifiers 1

IdentifierTypeStateIssuer
1790092922MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.micromdcloud.com/vpn/index.html

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210113001663 VA Part B Supplier - Clinic/Group Practice 5496168320 Receives reassigned benefits from 5 practitioners
Practice locations: MC Lean, VA; Vienna, VA; Tysons, VA; Reston, VA; McLean, VA; Manassas, VA; Leesburg, VA; Herndon, VA…
O20230712003674 DC Part B Supplier - Clinic/Group Practice 5496168320 Receives reassigned benefits from 5 practitioners
Practice locations: Vienna, VA; Tysons, VA; Reston, VA; McLean, VA; MC Lean, VA; Fairfax, VA; Falls Church, VA; Herndon, VA…

National Provider Directory

National Provider Directory
Tax ID family
Northstar Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3953 Pender Dr
Ste 100
Fairfax, VA 22030
Phone (703) 204-4664

106 Elden St
Ste 18B
Herndon, VA 20170
Phone (305) 701-9901

24430 Stone Springs Blvd
Ste 250
Sterling, VA 20166
Phone (571) 248-0653

Practitioners & affiliated clinicians

Practitioners 9

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": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1861094096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43109 UNISON KNOLL CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201487136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43109 UNISON KNOLL CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201487136",
            "telephone_number": "702-492-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "BHARDWAJ",
        "authorized_official_first_name": "PRITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-659-7773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790092922",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.micromdcloud.com/vpn/index.html",
            "affiliation": "N",
            "address_1": "43109 Unison Knoll Cir",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201487136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.