Active NPI
Rajesh N Mehra, DO
- Primary Care Clinic/Center
- Chantilly, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 0102033582
- Practice address
- 4437 Brookfield Corporate Dr
Chantilly, VA 20151-2122 - Phone
- (703) 968-7277
- Fax
- (703) 968-5644
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0102033582 | VA | Primary |
| Family Medicine Physician | 207Q00000X | VA0102033582 | VA |
Addresses
Primary practice location
4437 Brookfield Corporate Dr
Chantilly, VA 20151-2122
Mailing address
4437 Brookfield Corporate Dr
Chantilly, VA 20151-2122
Phone (703) 968-7277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14420 Albemarle Point PL
Suite 150
Chantilly, VA 20151-1690
Phone (703) 662-7500
19465 Deerfield Ave
Suite 308Aandb
Leesburg, VA 20176-1701
Phone (703) 938-1421
Hospital & facility affiliations
- Five Star Home Health Care
- CJW Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA0102033582 | VA | MD | Family Medicine Physician |
| 0102033582 | VA | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Hyperbaric Nova LLC | Current | Accepting new patients | |
| Five Star Home Health Care LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Capital Healthcare PC Dba Allcare | Family Medicine | Past | Accepting new patients |
Locations
14420 Albemarle Point Pl
Ste 150
Chantilly, VA 20151
Phone (703) 662-7500
14900 Bogle Dr
Ste 310
Chantilly, VA 20151
Phone (703) 662-7500
19465 Deerfield Ave
Ste 308B
Leesburg, VA 20176
19465 Deerfield Ave
Ste 308AB
Leesburg, VA 20176
Phone (703) 938-1421
19465 Deerfield Ave
Ste 308
Leesburg, VA 20176
Phone (703) 938-1421
410 Pine St SE
Ste 320
Vienna, VA 22180
Phone (703) 462-4348
Organizations & group practices 5
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Leesburg, VA
- NPI 1295495331
-
- Family Medicine Physician
- Woodbridge, VA
- NPI 1407162076
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
- Home Health Agency
- Chantilly, VA
- NPI 1619118528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1992873400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4437 BROOKFIELD CORPORATE DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512122",
"telephone_number": "703-968-7277",
"fax_number": "703-968-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4437 BROOKFIELD CORPORATE DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512122",
"telephone_number": "703-968-7277",
"fax_number": "703-968-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHRA",
"first_name": "RAJESH",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "VA",
"license": "0102033582",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "VA0102033582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.