NPIMap

Organization Active NPI

Medical Associates of Northern VA Inc

  • Cardiovascular Disease Physician
  • Arlington, VA
National Provider Identifier
1942230826
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEDICAL ASSOCIATES OF NORTHERN VA INC
Practice address
611 S Carlin Springs Rd Ste 504
Arlington, VA 22204-1088
Phone
(703) 998-6666
NPI assigned
Jul 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ambrish Gupta, MDNPI 1518991892
Title
President
Phone
(703) 998-6666

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
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

611 S Carlin Springs Rd Ste 504
Arlington, VA 22204-1088

Mailing address

611 S Carlin Springs Rd Ste 504
Arlington, VA 22204-1088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624000202 DC Part B Supplier - Clinic/Group Practice 4587609029 Receives reassigned benefits from 8 practitioners
Practice locations: Alexandria, VA; Arlington, VA

National Provider Directory

National Provider Directory

Locations

6303 Little River Tpke
Ste 160
Alexandria, VA 22312
Phone (703) 476-0901

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942230826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD STE 504",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD STE 504",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041088",
            "telephone_number": "703-998-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF NORTHERN VA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "AMBRISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-998-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.