Individual provider Active NPI

Naveen Nandanan, M.D.

  • Urology Physician
  • Fredericksburg, VA
National Provider Identifier
1861769010
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A171166 Issued in CA
Practice address
1051 Care Way
Fredericksburg, VA 22401-8425
Phone
(540) 374-3131
NPI assigned
Nov 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A171166 CA
Urology Physician 208800000X A171166 CA Primary

Addresses

Primary practice location

1051 Care Way
Fredericksburg, VA 22401-8425

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210513002920 CA Practitioner - UrologyPractitioner - General Surgery 7719271295 Reassigns benefits to 1 organization
I20221110001251 VA Practitioner - Urology 7719271295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Fredericksburg, PCGroup PAC ID 0345343927, 12 clinicians
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

1051 Care Way
Fredericksburg, VA 22401-8425
Phone (540) 374-3131

125 Hospital Ctr Blvd
Suite 329
Stafford, VA 22554-6202
Phone (540) 657-6155

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A171166CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Surgery CurrentSince Jun 28, 2021 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince May 14, 2023 Accepting new patients
Urology Associates of Fredericksburg, PC Urology CurrentSince Dec 1, 2022 Accepting new patients
Mary Washington Healthcare Physicians Surgery CurrentSince May 14, 2023 Accepting new patients
Urology Associates Urology Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1051 Care Way
Fredericksburg, VA 22401
Phone (540) 374-3131

4710 Spotsylvania Pkwy
Ste 204
Fredericksburg, VA 22407
Phone (540) 374-3131

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 374-3290

Interoperability endpoints

  • Direct secure messaging: naveennandanan@fredericksberguro.medalliesdirect.net
  • Direct secure messaging: nnandanan98821@marywashingtonhealthcare.direct-ci.com
  • FHIR API: https://app.meldrx.com/api/fhir/uc08436_urologyassociatesmuncie
  • FHIR API: https://app.meldrx.com/api/fhir/uc05441_uaoffredericksburg

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1861769010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-374-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDANAN",
        "first_name": "NAVEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A171166",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A171166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.