Individual provider Active NPI

Madhab Lamichhane, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Woodbridge, VA
National Provider Identifier
1932302098
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
0101264702 Issued in VA
Practice address
14605 Potomac Branch Dr Ste 210
Woodbridge, VA 22191-3337
Phone
(703) 780-9014
Fax
(703) 780-9077
NPI assigned
Jun 7, 2007
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.123006 IL
Internal Medicine Physician 207R00000X 4301098068 MI
Internal Medicine Physician 207R00000X 125050611 IL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 67204 WI
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 0101264702 VA Primary

Addresses

Primary practice location

14605 Potomac Branch Dr Ste 210
Woodbridge, VA 22191-3337

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

600 Highland Ave
Madison, WI 53792-1313
Phone (608) 263-6400

Other practice location 2

11803 Jefferson Ave Ste 110
Newport News, VA 23606
Phone (757) 873-0360

Other identifiers 5

IdentifierTypeStateIssuer
4301098068OtherMIPHYSICIAN LICENSE, BOARD OF MEDICINE
809840OtherILMEDICARE GROUP PTAN
036.123006OtherILSTATE OF ILLINOIS DFPR PHYSICIAN LICENSURE
1932302098MedicaidMI
125-050611OtherILPHYSICIAN TEMPORARY LICEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20180907000207 VA Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1951451699 Reassigns benefits to 1 organization
I20230119002601 DC Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951451699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 210
Woodbridge, VA 22191-3337
Phone (571) 492-3070

21785 Filigree CT
Suite 100
Ashburn, VA 20147-6214
Phone (703) 204-9301

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1717
Phone (703) 852-7760

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

3833 Fairfax Dr
Arlington, VA 22203-1773

8081 Innovation Park Dr
Fairfax, VA 22031-4867

8101 Hinson Farm Rd
Suite 408
Alexandria, VA 22306-3409
Phone (703) 780-9014

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.123006ILMDInternal Medicine Physician
125050611ILMDInternal Medicine Physician
4301098068MIMDInternal Medicine Physician
67204WIMDAdvanced Heart Failure and Transplant Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Sep 26, 2022 Accepting new patients
Inova Health Care Services CurrentSince Sep 26, 2022 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Dec 15, 2022 Accepting new patients
Saint Francis Medical Center Cardiovascular Disease PastSince Jul 1, 2009 Accepting new patients

Locations

3580 Joseph Siewick Dr
Ste 401
Fairfax, VA 22033
Phone (703) 205-7330

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211

Interoperability endpoints

  • Direct secure messaging: mlamichhane1103615@soc.inova.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1932302098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14605 POTOMAC BRANCH DR STE 210",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913337",
            "telephone_number": "703-780-9014",
            "fax_number": "703-780-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537921313",
            "country_code": "US",
            "telephone_number": "608-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11803 Jefferson Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23606",
            "country_code": "US",
            "telephone_number": "757-873-0360",
            "fax_number": "757-873-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMICHHANE",
        "first_name": "MADHAB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.123006",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098068",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125050611",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "WI",
            "license": "67204",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "VA",
            "license": "0101264702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE, BOARD OF MEDICINE",
            "identifier": "4301098068",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "809840",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DFPR  PHYSICIAN LICENSURE",
            "identifier": "036.123006",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932302098",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN TEMPORARY LICEN",
            "identifier": "125-050611",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.