Organization Active NPI

Nova Internal Medicine, Inc

  • Internal Medicine Physician
  • Arlington, VA
National Provider Identifier
1942311675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101233031 Issued in VA
Legal business name
NOVA INTERNAL MEDICINE, INC
Practice address
611 S Carlin Springs Rd
Arlington, VA 22204-1064
Phone
(703) 560-1733
Fax
(703) 426-2428
NPI assigned
Aug 31, 2006
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
Lakshmi Bhagavathula, MD
Title
President
Phone
(703) 560-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101233031 VA Primary

Addresses

Primary practice location

611 S Carlin Springs Rd
Arlington, VA 22204-1064

Mailing address

9582 Bronte Dr
Burke, VA 22015-1758
Phone (703) 560-1733

National Provider Directory

National Provider Directory

Locations

611 S Carlin Springs Rd
Ste 310
Arlington, VA 22204
Phone (703) 578-1444

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942311675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 BRONTE DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151758",
            "telephone_number": "703-560-1733",
            "fax_number": "703-426-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041064",
            "telephone_number": "703-560-1733",
            "fax_number": "703-426-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA INTERNAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHAGAVATHULA",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-560-1733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101233031",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.