Individual provider Active NPI

Patricia A Radich, DO

  • Family Medicine Physician
  • Vienna, VA
National Provider Identifier
1962064949
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207297 Issued in VA
Practice address
2070 Chain Bridge Rd Ste 150
Vienna, VA 22182-2598
Phone
(703) 383-4836
Fax
(703) 383-4911
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102207297 VA Primary

Addresses

Primary practice location

2070 Chain Bridge Rd Ste 150
Vienna, VA 22182-2598

Mailing address

PO Box 417
Fairfax, VA 22038-0417
Phone (703) 901-3725

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
I20221027000649 DC Practitioner - Family Practice 2062889454 Reassigns benefits to 1 organization
I20260217004462 VA Practitioner - Family Practice 2062889454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9401 Lee Hwy 400
Fairfax, VA 22031-1847
Phone (703) 383-4836

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 17, 2022 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Aug 17, 2022 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

9401 Route 29
Ste 400
Fairfax, VA 22031

44160 Scholar Plz
Ste 450
Leesburg, VA 20176
Phone (703) 450-8660

8644 Sudley Rd
#220
Manassas, VA 20110

2070 Chain Bridge Rd
Ste 150
Vienna, VA 22182
Phone (703) 794-5376

1880 Howard Ave
Ste 202
Vienna, VA 22182
Phone (202) 880-5007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patricia.radich.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1962064949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220380417",
            "telephone_number": "703-901-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CHAIN BRIDGE RD STE 150",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822598",
            "telephone_number": "703-383-4836",
            "fax_number": "703-383-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADICH",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.