Gurpreet S Bajwa, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101231157 Issued in VA

Practice address

2810 Old Lee Hwy
Suite 200B
Fairfax, VA 22031-4376

Phone

(703) 573-4015

Fax

(703) 280-1859

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gurpreet S Bajwa MD PA

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1114966017
  Authorized official Same address or phone

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1861486672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 OLD LEE HWY",
            "address_2": "SUITE 200B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314376",
            "telephone_number": "703-573-4015",
            "fax_number": "703-280-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 OLD LEE HWY",
            "address_2": "SUITE 200B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314376",
            "telephone_number": "703-573-4015",
            "fax_number": "703-280-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "GURPREET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101231157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C Baither, PHD
• Marjorie Baja
• Alisha Bajaj
• Gopal Krishna Bajaj, M.D.
• Siddharth Bajpai, M.D.
• Vijender Singh Bajwa, M.D.
• Leshara Bakare, LPC
• Catherine Baker, PT
• Jennifer Baker
• Kathleen Racz Baker

• Family Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.