Organization Active NPI

Altmed Medical Services LLC

  • Addiction Medicine (Family Medicine) Physician
  • Manassas, VA
National Provider Identifier
1861228660
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
ALTMED MEDICAL SERVICES LLC
Practice address
8551 Rixlew LN Ste 140
Manassas, VA 20109-4278
Phone
(703) 361-4357
Fax
(703) 361-0346
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Madhusudan Panthi
Title
Manager
Phone
(703) 485-2000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

8551 Rixlew LN Ste 140
Manassas, VA 20109-4278

Mailing address

8551 Rixlew LN Ste 140
Manassas, VA 20109-4278
Phone (703) 361-4357

Other practice location 1

11885 Holly Ln Ste 4
Waldorf, MD 20601-3187
Phone (301) 868-2760

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1861228660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 RIXLEW LN STE 140",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094278",
            "telephone_number": "703-361-4357",
            "fax_number": "703-361-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 RIXLEW LN STE 140",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094278",
            "telephone_number": "703-361-4357",
            "fax_number": "703-361-0346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11885 Holly Ln Ste 4",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206013187",
            "country_code": "US",
            "telephone_number": "301-868-2760",
            "fax_number": "703-361-0346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTMED MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PANTHI",
        "authorized_official_first_name": "MADHUSUDAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-485-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.