| Himani Pulivarthi, MD | |
|
9378 Forestwood Ln Ste E, Manassas, VA 20110-4742 | |
| (703) 361-7341 | |
| (703) 368-9757 |
| Full Name | Himani Pulivarthi |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 12 Years |
| Location | 9378 Forestwood Ln Ste E, Manassas, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598285793 | NPI | - | NPPES |
| 0101284068 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 0101284068 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - North Salisbury | Salisbury, MD | Dialysis facility |
| Fmc - Princess Anne | Princess anne, MD | Dialysis facility |
| Home Dialysis Of Maryland Llc | Halethorpe, MD | Dialysis facility |
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Atlantic General Hospital | Berlin, MD | Hospital |
| Nanticoke Memorial Hospital | Seaford, DE | Hospital |
| Riverside Shore Memorial Hospital | Onancock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peninsula Nephrology Associates Pa | 4486641677 | 5 |
| Entity Name | Peninsula Nephrology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811916976 PECOS PAC ID: 4486641677 Enrollment ID: O20050315000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Himani Pulivarthi, MD 9378 Forestwood Ln Ste E, Manassas, VA 20110-4742 Ph: (703) 361-7341 | Himani Pulivarthi, MD 9378 Forestwood Ln Ste E, Manassas, VA 20110-4742 Ph: (703) 361-7341 |
Myung W Choi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 | |
David Mark Demaria, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 302, Manassas, VA 20110 Phone: 703-369-5959 Fax: 703-369-7473 | |
Juan Weiss, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 9335 Amaryllis Ave., Manassas, VA 20110 Phone: 703-963-6791 | |
Seraphine A Soosaimanickam, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 10701 Rosemary Dr, Kaiser Permanente-manassas, Manassas, VA 20109 Phone: 703-257-3000 Fax: 703-257-3133 | |
Dr. Nina Phatak, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 | |
Dr. Muhammad Mannan Siddiqui, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9450 Innovation Dr, Manassas, VA 20110 Phone: 571-350-8400 Fax: 571-222-2202 | |
Dr. Darren S Baroni, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 |