Individual provider Active NPI

Navdeep Mathur, MD

  • Internal Medicine Physician
  • Manassas, VA
National Provider Identifier
1952346066
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101240433 Issued in VA
Practice address
8428 Dorsey Cir
Suite 101
Manassas, VA 20110-8302
Phone
(571) 379-8827
Fax
(888) 224-4936
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101240433 VA Primary

Addresses

Primary practice location

8428 Dorsey Cir
Suite 101
Manassas, VA 20110-8302

Mailing address

8428 Dorsey Cir
Suite 101
Manassas, VA 20110-8302
Phone (571) 379-8827

Other identifiers 1

IdentifierTypeStateIssuer
1972892065OtherVACOPORATE NPI

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
I20070206000114 DC Practitioner - Internal Medicine 8022010990 Reassigns benefits to 2 organizations
I20111012000003 VA Practitioner - Internal Medicine 8022010990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Urgent Andprimary Care LLCGroup PAC ID 7618270976, 5 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

5501 Backlick Rd
Suite 105
Springfield, VA 22151-3940
Phone (703) 564-5998

8428 Dorsey Cir
Suite 101
Manassas, VA 20110-8302
Phone (571) 379-8827

8428 Dorsey Circle
Suite 101
Manassas, VA 20110-8302
Phone (571) 379-8827

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240433VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urgent &Primary Care LLC CurrentSince Nov 9, 2015 Accepting new patients
Manassas Primary Care, LLC CurrentSince Sep 4, 2011 Accepting new patients
Capital Internal Medicine & Geriatrics LLC Internal Medicine Past Accepting new patients
Dr Arun K Gupta PC PastSince Sep 4, 2011 Accepting new patients

Locations

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

8428 Dorsey Cir
Ste 101
Manassas, VA 20110
Phone (571) 379-8827

5501 Backlick Rd
Ste 105
Springfield, VA 22151
Phone (703) 564-5998

Interoperability endpoints

  • Direct secure messaging: navdeep.mathur@620407976427524.direct.elationemr.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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1952346066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 DORSEY CIR",
            "address_2": "SUITE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108302",
            "telephone_number": "571-379-8827",
            "fax_number": "888-224-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 DORSEY CIR",
            "address_2": "SUITE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108302",
            "telephone_number": "571-379-8827",
            "fax_number": "888-224-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "NAVDEEP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101240433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COPORATE NPI",
            "identifier": "1972892065",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.