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. NPI 1922203116
Title
M.D./Owner
Phone
(302) 943-2633

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2192705Nova Pulmonary Critical Care and Sleep Associates
24430 Stone Springs Blvd Suite 200, Dulles, VA 20166
Certificate of waiverSep 13, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

  • FHIR API: https://api.platform.athenahealth.com/15876/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Critical Care Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0200X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X Yes
Sleep Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
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

IdentifierTypeStateIssuer
0101258876OtherVAVA MEDICAL LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "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

All providers in Dulles, VA · Pulmonary Disease Physician in Virginia

Sources for this page

Verify at the official NPI Registry.