NPIMap

Organization Active NPI

Galaria Plastic Surgery and Dermatology, PLC

Doing business as Galaria Plastic Surgery and Hand Surgery

  • Plastic Surgery Physician
  • Chantilly, VA
National Provider Identifier
1881829703
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101244923 Issued in VA
Legal business name
GALARIA PLASTIC SURGERY AND DERMATOLOGY, PLC
Doing business as
Galaria Plastic Surgery and Hand Surgery
Practice address
24805 Pinebrook Road
Suite #105
Chantilly, VA 20152
Phone
(703) 327-3173
Fax
(703) 327-1743
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Dr. Irfan Galaria, MD, MBANPI 1790970556
Title
President
Phone
(571) 449-0711

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 0101245107 VA
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 0101244923 VA Primary

Addresses

Primary practice location

24805 Pinebrook Road
Suite #105
Chantilly, VA 20152

Mailing address

24805 Pinebrook Road
Suite 105
Chantilly, VA 20152
Phone (703) 327-3173

Other names 1

  • Galaria Plastic Surgery and Hand Surgery Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091112000053 VA Part B Supplier - Clinic/Group Practice 7517005515 Receives reassigned benefits from 6 practitioners
Practice locations: Haymarket, VA; Warrenton, VA; Manassas, VA; Fairfax, VA; Chantilly, VA
O20131206000993 DC Part B Supplier - Clinic/Group Practice 7517005515 Receives reassigned benefits from 2 practitioners
Practice locations: Chantilly, VA; Fairfax, VA

National Provider Directory

National Provider Directory

Locations

42395 Ryan Rd
Ste 101A
Brambleton, VA 20148

42395 Ryan Rd
Ste 101
Brambleton, VA 20148

24805 Pinebrook Rd
Ste 105
Chantilly, VA 20152
Phone 70332731733

24805 Pinebrook Rd
Ste 15
Chantilly, VA 20152

3620 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 281-1023

15195 Heathcote Blvd
Ste 358
Haymarket, VA 20169
Phone (703) 753-0990

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

Practitioners & affiliated clinicians

Practitioners 7

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": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1881829703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24805 PINEBROOK ROAD",
            "address_2": "SUITE 105",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20152",
            "telephone_number": "703-327-3173",
            "fax_number": "703-327-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24805 PINEBROOK ROAD",
            "address_2": "SUITE #105",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20152",
            "telephone_number": "703-327-3173",
            "fax_number": "703-327-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALARIA PLASTIC SURGERY AND DERMATOLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "GALARIA",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-449-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101245107",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101244923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galaria Plastic Surgery and Hand Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.