Individual provider Active NPI

Bina Sunil Kololgi, M.D.

  • Internal Medicine Physician
  • Burke, VA
National Provider Identifier
1902820657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101053083 Issued in VA
Practice address
6045 Burke Centre Pkwy
Suite M
Burke, VA 22015-3751
Phone
(703) 239-0300
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101053083 VA Primary

Addresses

Primary practice location

6045 Burke Centre Pkwy
Suite M
Burke, VA 22015-3751

Mailing address

7417 Clifton Quarry Dr
Clifton, VA 20124-2810
Phone (703) 830-7874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000514 DC Practitioner - Internal Medicine 2961556808

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ignaz P Jarbadan MD PC Internal Medicine PastSince Jul 30, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902820657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 CLIFTON QUARRY DR",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201242810",
            "telephone_number": "703-830-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 BURKE CENTRE PKWY",
            "address_2": "SUITE M",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153751",
            "telephone_number": "703-239-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOLGI",
        "first_name": "BINA",
        "middle_name": "SUNIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101053083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.