Nova Pulmonary Critical Care and Sleep Associates, LLC
Organization Active NPI Pulmonary Disease Physician · Dulles, VA
NPI 1932633682 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1932633682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- NOVA PULMONARY CRITICAL CARE AND SLEEP ASSOCIATES, LLC
- Practice address
- 24430 Stone Springs Blvd Unit 200
Dulles, VA 20166-2269 - Phone
- (571) 367-0000
- Fax
- (703) 857-5955
- NPI assigned
- Apr 19, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Aditya Narayan Dubey, M.D.
- Title
- M.D./Owner
- Phone
- (302) 943-2633
Practitioners 7
-
Aditya N Dubey, MD
-
Petra Thomas, M.D.
-
Danah Jagueta Balmaceda, NURSE PRACTITIONER
-
Rebekah Lee, NP
-
Paulos Dereje Abebe, PA-C
-
Christine Fay Amorosi, NURSE PRACTITIONER
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2192705 | Nova Pulmonary Critical Care and Sleep Associates | Certificate of waiver | Sep 13, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170704000007 | VA | Part B Supplier - Clinic/Group Practice | 2062781214 |
Receives reassigned benefits from 6 practitioners Practice locations: Dulles, VA; Leesburg, VA |
National Provider Directory
Locations
19420 Golf Vista Plz
Ste 230B
Lansdowne, VA 20176
Phone (571) 233-2302
19420 Golf Vista Plz
Ste 250
Leesburg, VA 20176
Phone (571) 349-0273
Interoperability endpoints
- https://api.platform.athenahealth.com/15876/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Pulmonary Disease Physician |
207RP1001X | Yes | ||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X |
Addresses
Primary practice location
24430 Stone Springs Blvd Unit 200
Dulles, VA 20166-2269
Mailing address
24430 Stone Springs Blvd Unit 200
Dulles, VA 20166-2269
Phone (571) 367-0000
Other practice location 1
19415 Deerfield Ave Ste 301
Leesburg, VA 20176-8472
Phone (571) 367-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101258876 | Other | VA | VA MEDICAL LICENSE |
NPI Registry JSON
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1932633682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24430 STONE SPRINGS BLVD UNIT 200",
"city": "DULLES",
"state": "VA",
"postal_code": "201662269",
"telephone_number": "571-367-0000",
"fax_number": "703-857-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24430 STONE SPRINGS BLVD UNIT 200",
"city": "DULLES",
"state": "VA",
"postal_code": "201662269",
"telephone_number": "571-367-0000",
"fax_number": "703-857-5955"
}
],
"practiceLocations": [
{
"address_1": "19415 Deerfield Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201768472",
"country_code": "US",
"telephone_number": "571-367-0000",
"fax_number": "703-857-5955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOVA PULMONARY CRITICAL CARE AND SLEEP ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-19",
"last_updated": "2023-03-07",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "DUBEY",
"authorized_official_first_name": "ADITYA",
"authorized_official_middle_name": "NARAYAN",
"authorized_official_title_or_position": "M.D./OWNER",
"authorized_official_telephone_number": "302-943-2633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA MEDICAL LICENSE",
"identifier": "0101258876",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dulles, VA
- Lynn Nguyen
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- Northern Virginia Community Hospital LLC
- Northern Virginia Community Hospital, LLC
- Northstar Health Inc
- Jennifer Miwa Oshimi
- Bonnie Marie Paine
- Soo Jung Park
- Nirav A Patel
- Pediatrix Medical Group of the Mid-Atlantic PC
All providers in Dulles, VA · Pulmonary Disease Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.