NPIMap

Organization Active NPI

Kumaresansankaran,MD,PC

  • Primary Care Clinic/Center
  • Fairfax, VA
National Provider Identifier
1962045542
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KUMARESANSANKARAN,MD,PC
Practice address
2812 Old Lee Hwy Ste 210B
Fairfax, VA 22031-4367
Phone
(703) 876-6131
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Kumaresan Sankaran, MDNPI 1386731172
Title
Owner
Phone
(703) 876-6131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2812 Old Lee Hwy Ste 210B
Fairfax, VA 22031-4367

Mailing address

2812 Old Lee Hwy Ste 210B
Fairfax, VA 22031-4367
Phone (703) 876-6131

National Provider Directory

National Provider Directory

Locations

8301 Arlington Blvd
Ste 310
Fairfax, VA 22031
Phone (703) 560-0756

2812 Old Lee Hwy
Ste 210B
Fairfax, VA 22031
Phone (703) 573-0086

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1962045542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 OLD LEE HWY STE 210B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314367",
            "telephone_number": "703-876-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 OLD LEE HWY STE 210B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314367",
            "telephone_number": "703-876-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMARESANSANKARAN,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "SANKARAN",
        "authorized_official_first_name": "KUMARESAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-876-6131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.