Organization Active NPI

Reston Anesthesia Associates, PC

  • Anesthesiology Physician
  • Reston, VA
National Provider Identifier
1932210093
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0632901 Issued in VA
Legal business name
RESTON ANESTHESIA ASSOCIATES, PC
Practice address
1850 Town Center Pkwy
Reston, VA 20190-3219
Phone
(703) 471-0919
Fax
(703) 742-9081
NPI assigned
Aug 31, 2006
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
David L Nadler, M.D.NPI 1205095072
Title
President
Phone
(703) 471-0919

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0632901 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy
Reston, VA 20190-3219

Mailing address

607 Herndon Pkwy Ste 101
Herndon, VA 20170-5477
Phone (703) 471-0919

Other identifiers 1

IdentifierTypeStateIssuer
173386OtherBCBS GROUP#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000829 DC Part B Supplier - Clinic/Group Practice 2567361124 Receives reassigned benefits from 124 practitioners
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1932210093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HERNDON PKWY STE 101",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705477",
            "telephone_number": "703-471-0919",
            "fax_number": "703-742-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-471-0919",
            "fax_number": "703-742-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON ANESTHESIA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-471-0919",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0632901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "173386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.