Active NPI
Altmed Medical Services LLC
- Addiction Medicine (Family Medicine) Physician
- Manassas, VA
National Provider Identifier
1861228660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 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 DirectoryNPI 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.