Organization Active NPI

Prime Medical Care,LLC

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1962751966
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101243193 Issued in VA
Legal business name
PRIME MEDICAL CARE,LLC
Practice address
8101 Hinson Farm Rd
Suite 208
Alexandria, VA 22306-3403
Phone
(703) 746-8408
Fax
(703) 746-8407
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Dan Bishwakarma, M.D.
Title
Director
Phone
(703) 746-8408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101243193 VA Primary

Addresses

Primary practice location

8101 Hinson Farm Rd
Suite 208
Alexandria, VA 22306-3403

Mailing address

8101 Hinson Farm Rd
Suite 208
Alexandria, VA 22306-3403
Phone (703) 746-8408

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2048674Prime Medical Care, LLC8101 Hinson Farm Road - Suite 208, Alexandria, VA 22306Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

Locations

8101 Hinson Farm Rd
Ste 208
Alexandria, VA 22306
Phone (703) 746-8408

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": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1962751966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 208",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-746-8408",
            "fax_number": "703-746-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE 208",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-746-8408",
            "fax_number": "703-746-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "BISHWAKARMA",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-746-8408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.