Amar Raj Gulati, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36.004042 Issued in OH

Practice address

611 S Carlin Springs Rd Ste 508
Arlington, VA 22204-1088

Phone

(703) 566-0803

Fax

(571) 867-9905

NPI assigned

Mar 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2018

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)

Hospital & facility affiliations

• Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
• Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)

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

• Inova Health Care Services

  • Psychiatric Hospital Unit
  • Leesburg, VA
  • NPI 1285786228
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Leesburg, VA
  • NPI 1376564302
  Care Compare affiliation
• Inova Health Care Services

  • Rehabilitation Hospital Unit
  • Falls Church, VA
  • NPI 1588795462
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Falls Church, VA
  • NPI 1831220714
  Care Compare affiliation

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1992200042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD STE 508",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041088",
            "telephone_number": "703-566-0803",
            "fax_number": "571-867-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD STE 508",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041088",
            "telephone_number": "703-566-0803",
            "fax_number": "571-867-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2296 Opitz Blvd Ste 510",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913348",
            "country_code": "US",
            "telephone_number": "571-285-4208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 N George Mason Dr Ste 501",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053667",
            "country_code": "US",
            "telephone_number": "703-888-0648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11701 Livingston Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207445136",
            "country_code": "US",
            "telephone_number": "240-493-7188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7610 Carroll Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209126312",
            "country_code": "US",
            "telephone_number": "301-891-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6130 Oxon Hill Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453168",
            "country_code": "US",
            "telephone_number": "301-567-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6217 Old Keene Mill Ct",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522324",
            "country_code": "US",
            "telephone_number": "703-451-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULATI",
        "first_name": "AMAR",
        "middle_name": "RAJ",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Medical Services LLC
• Jacqueline Guevara, LCSW
• Tiffany Marie Guglielmelli, FNP-BC
• Guide Medical Group Inc
• Guillory Health Virginia, LLC
• Ambrish K Gupta, M.D.
• Jyotsna Gupta, MD
• Pradeep K Gupta, MD
• Sarah Morrison Guthrie, PA-C
• Daniela Gutierrez, LPC

• Foot & Ankle Surgery Podiatrist in Arlington, VA
• Providers in Arlington, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.