Individual provider Active NPI

Sithu Win, MD

  • Pediatrics Physician
  • Herndon, VA
National Provider Identifier
1932427945
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101255036 Issued in VA
Practice address
110 Elden St
Suite D
Herndon, VA 20170-4891
Phone
(703) 471-6996
Fax
(703) 435-6675
NPI assigned
May 14, 2010
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101255036 VA Primary

Addresses

Primary practice location

110 Elden St
Suite D
Herndon, VA 20170-4891

Mailing address

110 Elden St
Suite D
Herndon, VA 20170-4891
Phone (703) 471-6996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20140507000323 DC Practitioner - Pediatric Medicine 2264684323 Reassigns benefits to 1 organization
I20141028000011 VA Practitioner - Pediatric Medicine 2264684323 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Mar 8, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 8, 2014 Accepting new patients
Pulmonologists, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

110 Elden St
Ste D
Herndon, VA 20170
Phone (703) 471-6996

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: sithu.win.1@8042.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1932427945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELDEN ST",
            "address_2": "SUITE D",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704891",
            "telephone_number": "703-471-6996",
            "fax_number": "703-435-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ELDEN ST",
            "address_2": "SUITE D",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704891",
            "telephone_number": "703-471-6996",
            "fax_number": "703-435-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIN",
        "first_name": "SITHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101255036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.