Individual provider Active NPI

Sonal Jagasia, MD

  • Psychiatry Physician
  • Vienna, VA
National Provider Identifier
1912223306
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101256643 Issued in VA
Practice address
2220 Cedar LN Ste 100
Vienna, VA 22182-5251
Phone
(571) 368-6654
Fax
(571) 368-6656
NPI assigned
Apr 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD042640 DC
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0101256643 VA Primary

Addresses

Primary practice location

2220 Cedar LN Ste 100
Vienna, VA 22182-5251

Mailing address

2220 Cedar LN Ste 100
Vienna, VA 22182-5251
Phone (571) 368-6654

Other practice location 1

3925 Blenheim Blvd Ste 52A
Fairfax, VA 22030-2426
Phone (571) 368-6654

Other practice location 2

3007 Barkley Gate Ln
Fairfax, VA 22031-1462
Phone (317) 730-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150623001964 DC Practitioner - Psychiatry 3870804420 Practice locations: Fairfax, VA
I20230627003153 NY Practitioner - Psychiatry 3870804420 Reassigns benefits to 1 organization
I20231010000481 IL Practitioner - Psychiatry 3870804420

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3925 Blenheim Blvd
Suite 52a
Fairfax, VA 22030-2426
Phone (571) 368-6654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042640DCMDPsychiatry Physician
0101256643VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Mantra Mental Health PLLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

159 N Sangamon St
Ste 200300
Chicago, IL 60607
Phone (872) 246-7320

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

3925 Blenheim Blvd
Ste 52A
Fairfax, VA 22030
Phone (571) 368-6654

Networks

  • HealthSun Health Plans Network

Organizations & group practices 3

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": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1912223306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CEDAR LN STE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825251",
            "telephone_number": "571-368-6654",
            "fax_number": "571-368-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CEDAR LN STE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825251",
            "telephone_number": "571-368-6654",
            "fax_number": "571-368-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3925 Blenheim Blvd Ste 52A",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220302426",
            "country_code": "US",
            "telephone_number": "571-368-6654",
            "fax_number": "571-368-6656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3007 Barkley Gate Ln",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220311462",
            "country_code": "US",
            "telephone_number": "317-730-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGASIA",
        "first_name": "SONAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD042640",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101256643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.