| Gastroenterology Associates Of Northern Virginia, Llc | |
|
3700 Joseph Siewick Dr. Suite 308 Fairfax VA 22033-1739 | |
| (703) 716-8700 | |
| (703) 716-8703 |
| Full Name | Gastroenterology Associates Of Northern Virginia, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 Joseph Siewick Dr., Fairfax, Virginia |
| Authorized Official Name and Position | Tonya Adams (VICE PRESIDENT) |
| Authorized Official Contact | 7036988960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Northern Virginia, Llc 3700 Joseph Siewick Dr. Suite 308 Fairfax VA 22033-1739 Ph: (703) 716-8700 | Gastroenterology Associates Of Northern Virginia, Llc 3700 Joseph Siewick Dr. Suite 308 Fairfax VA 22033-1739 Ph: (703) 716-8700 |
| NPI Number | 1205884368 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 1759371008 |
|---|---|
| Medicare Enrollment ID | O20040517001478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205884368 | NPI | - | NPPES |
| 178704 | Other | VA | ANTHEM BCBS |
| 104411 | Other | KAISER | |
| 7916 | Other | CAREFIRST BCBS | |
| CD8396 | Other | VA | RAILROAD MEDICARE |
| 3810003805 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | (* (Not Available)) | Secondary |
| Provider Name | Nader H Balba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013949254 PECOS PAC ID: 2062402308 Enrollment ID: I20040517001452 |
| Provider Name | Ronald J Barkin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477623650 PECOS PAC ID: 7012987480 Enrollment ID: I20040831001519 |
| Provider Name | Atul V Marathe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326034695 PECOS PAC ID: 6800852310 Enrollment ID: I20041207000393 |
| Provider Name | Jack C Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003802380 PECOS PAC ID: 8628051455 Enrollment ID: I20041207000408 |
| Provider Name | Kenneth N Josovitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922094580 PECOS PAC ID: 1759364573 Enrollment ID: I20041207000425 |
| Provider Name | Mahmood Abedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649255233 PECOS PAC ID: 5193783264 Enrollment ID: I20041221000972 |
| Provider Name | Michael Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861488637 PECOS PAC ID: 3971551938 Enrollment ID: I20050107000056 |
| Provider Name | Eduardo Noguera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295791176 PECOS PAC ID: 0446209514 Enrollment ID: I20050114000679 |
| Provider Name | Behzad Kalaghchi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356337158 PECOS PAC ID: 2466412739 Enrollment ID: I20050223000933 |
| Provider Name | Emil Valle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497711238 PECOS PAC ID: 5395734354 Enrollment ID: I20050510000634 |
| Provider Name | Mohammad H Razavi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639167661 PECOS PAC ID: 9537114343 Enrollment ID: I20050909000162 |
| Provider Name | Waseem Ismail Aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023038270 PECOS PAC ID: 9436184116 Enrollment ID: I20050930000617 |
| Provider Name | Shilen Lakhani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871503599 PECOS PAC ID: 3678596558 Enrollment ID: I20060105000805 |
| Provider Name | Jeremias C Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699723213 PECOS PAC ID: 2860405628 Enrollment ID: I20060720000241 |
| Provider Name | James A Henry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619954351 PECOS PAC ID: 9931131489 Enrollment ID: I20061011000764 |
| Provider Name | Ahmed M Hegab |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699793372 PECOS PAC ID: 4486603099 Enrollment ID: I20070316000072 |
| Provider Name | Sandeep Bagla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689718611 PECOS PAC ID: 9739280132 Enrollment ID: I20070730000620 |
| Provider Name | Asma Khapra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770702011 PECOS PAC ID: 4688757594 Enrollment ID: I20080215000452 |
| Provider Name | Anita Wolke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215993068 PECOS PAC ID: 9537122965 Enrollment ID: I20080728000009 |
| Provider Name | Mu K Hong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346251196 PECOS PAC ID: 8022144294 Enrollment ID: I20100326000350 |
| Provider Name | Rupa N Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740209147 PECOS PAC ID: 9234160466 Enrollment ID: I20100608000813 |
| Provider Name | Carol S Schuffler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598800765 PECOS PAC ID: 6305034471 Enrollment ID: I20101216000648 |
| Provider Name | Jerome T Oconnell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861516718 PECOS PAC ID: 0042403461 Enrollment ID: I20110315000409 |
| Provider Name | Peter Scudera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063488575 PECOS PAC ID: 9133145477 Enrollment ID: I20110330000301 |
| Provider Name | Tonya Adams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861472862 PECOS PAC ID: 1850317199 Enrollment ID: I20110330000339 |
| Provider Name | Michael Garone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255311189 PECOS PAC ID: 4587680822 Enrollment ID: I20110331000102 |
| Provider Name | Kenneth Mirkin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952372542 PECOS PAC ID: 4385660638 Enrollment ID: I20110429000169 |
| Provider Name | Andrew Axelrad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073579876 PECOS PAC ID: 2567563570 Enrollment ID: I20110520000688 |
| Provider Name | Byungki Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255307906 PECOS PAC ID: 0446277040 Enrollment ID: I20110523000307 |
| Provider Name | Suresh Kumar Malhotra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942370127 PECOS PAC ID: 9830169200 Enrollment ID: I20110603000107 |
| Provider Name | Frank Procaccino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477658193 PECOS PAC ID: 2860679172 Enrollment ID: I20110613000728 |
| Provider Name | Alan Plotner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114983004 PECOS PAC ID: 1557462561 Enrollment ID: I20110627000508 |
| Provider Name | Nitin K Sardana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760648059 PECOS PAC ID: 7214106509 Enrollment ID: I20110802000626 |
| Provider Name | Minal Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588848089 PECOS PAC ID: 5890966337 Enrollment ID: I20110914000268 |
| Provider Name | Amy G. Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093923757 PECOS PAC ID: 3476709650 Enrollment ID: I20120817000149 |
| Provider Name | Benjamin E Young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326205113 PECOS PAC ID: 6204090566 Enrollment ID: I20130918000233 |
| Provider Name | Anisha Thadani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346403920 PECOS PAC ID: 7810157443 Enrollment ID: I20131011000072 |
| Provider Name | Ghazaleh Aram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154499069 PECOS PAC ID: 5597814962 Enrollment ID: I20131024000127 |
| Provider Name | Bezawit Tekola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770742595 PECOS PAC ID: 8022246974 Enrollment ID: I20140822001853 |
| Provider Name | Felice Banson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962407924 PECOS PAC ID: 9335136191 Enrollment ID: I20141222002232 |
| Provider Name | Arunan Siva Vamadevan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457546236 PECOS PAC ID: 4486975562 Enrollment ID: I20150601001978 |
| Provider Name | Tina Polley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548657117 PECOS PAC ID: 8022320258 Enrollment ID: I20150701000536 |
| Provider Name | Ali Kazemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609019520 PECOS PAC ID: 0244406809 Enrollment ID: I20150825004589 |
| Provider Name | Ivan Peter Harnden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568781706 PECOS PAC ID: 0042504268 Enrollment ID: I20160811000928 |
| Provider Name | Iris Hyun Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881911667 PECOS PAC ID: 4284933490 Enrollment ID: I20160901002476 |
| Provider Name | Rachel L Piechowiak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679867212 PECOS PAC ID: 5092961029 Enrollment ID: I20161018002612 |
| Provider Name | Nicholas Wilson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477872158 PECOS PAC ID: 9133499155 Enrollment ID: I20170725001788 |
| Provider Name | Jared Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365507 PECOS PAC ID: 8729340096 Enrollment ID: I20180326002869 |
| Provider Name | Nicole L Dease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972167666 PECOS PAC ID: 2769818228 Enrollment ID: I20200203000417 |
| Provider Name | Rahul Kataria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538401831 PECOS PAC ID: 0547557118 Enrollment ID: I20200831002594 |
| Provider Name | Mohamed A Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831320571 PECOS PAC ID: 5092021832 Enrollment ID: I20201111000193 |
| Provider Name | Brittany A Stivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720612294 PECOS PAC ID: 2567875263 Enrollment ID: I20210209000226 |
| Provider Name | Vishant Ramadorai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467848473 PECOS PAC ID: 6507173275 Enrollment ID: I20210707003218 |
| Provider Name | Javelle A Wynter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659799906 PECOS PAC ID: 2769604263 Enrollment ID: I20210709002252 |
| Provider Name | Joel Andrew Wolf |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1306233911 PECOS PAC ID: 3072916204 Enrollment ID: I20210727000106 |
| Provider Name | Jessica Trevino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912946484 PECOS PAC ID: 8426240755 Enrollment ID: I20210908000111 |
| Provider Name | Alex Pavidapha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1053799585 PECOS PAC ID: 2769774801 Enrollment ID: I20220211001177 |
| Provider Name | Christine Nicole Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639658875 PECOS PAC ID: 7012255359 Enrollment ID: I20220525001119 |
| Provider Name | Monica Passi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568859031 PECOS PAC ID: 3274870274 Enrollment ID: I20220607003409 |
| Provider Name | Courtney Marie Worner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720759673 PECOS PAC ID: 1557756038 Enrollment ID: I20220608003147 |
| Provider Name | Claudine Morcos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629206610 PECOS PAC ID: 4880860287 Enrollment ID: I20220923000453 |
| Provider Name | Arun Reddy Mannem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871721019 PECOS PAC ID: 7810143310 Enrollment ID: I20220930002485 |
| Provider Name | Emily Munro Christman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083677199 PECOS PAC ID: 6709042930 Enrollment ID: I20221003000094 |
| Provider Name | David Balaban |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225035959 PECOS PAC ID: 2163553157 Enrollment ID: I20221003003002 |
| Provider Name | Catherine Easter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881647444 PECOS PAC ID: 2961580246 Enrollment ID: I20221012000815 |
| Provider Name | Donna Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396744231 PECOS PAC ID: 3779660667 Enrollment ID: I20221012001027 |
| Provider Name | Amy Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770582702 PECOS PAC ID: 5496840936 Enrollment ID: I20221013001339 |
| Provider Name | Daniel John Pambianco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760489488 PECOS PAC ID: 4587795562 Enrollment ID: I20221013002060 |
| Provider Name | Elliot Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548559081 PECOS PAC ID: 9537398375 Enrollment ID: I20221102000035 |
| Provider Name | Caroline Eri Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700352382 PECOS PAC ID: 4385012129 Enrollment ID: I20221129003088 |
| Provider Name | Molly Anne Asper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992422711 PECOS PAC ID: 6002285533 Enrollment ID: I20221206000514 |
| Provider Name | Diego Alonso Gomez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003815408 PECOS PAC ID: 4183755283 Enrollment ID: I20221207002868 |
| Provider Name | Sylvia Satiyaselan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033846225 PECOS PAC ID: 9032581954 Enrollment ID: I20230209002991 |
| Provider Name | Michelle K Wrieden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790475879 PECOS PAC ID: 8426407156 Enrollment ID: I20231208002961 |
| Provider Name | Ali Asif Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801320957 PECOS PAC ID: 7416229463 Enrollment ID: I20240108005035 |
| Provider Name | Hina Qureshi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568488286 PECOS PAC ID: 7517150071 Enrollment ID: I20240117002359 |
| Provider Name | Muhammad Khokhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033145586 PECOS PAC ID: 6406868868 Enrollment ID: I20240123003850 |
| Provider Name | Leah Blatzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023667649 PECOS PAC ID: 5890118681 Enrollment ID: I20240129003070 |
| Provider Name | Maja Strollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154028009 PECOS PAC ID: 8123484755 Enrollment ID: I20240306003102 |
Neighborhood Health At Merrifield Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-535-5568 Fax: 703-299-1794 | |
Fair Oaks Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10721 Main St, #1500, Fairfax, VA 22030 Phone: 703-218-2970 Fax: 703-218-2965 | |
Health Connect Aco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12011 Lee Jackson Hwy, Suite 504, Fairfax, VA 22033 Phone: 703-391-2042 | |
Revive Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3998 Fair Ridge Dr Ste 270, Fairfax, VA 22033 Phone: 571-544-8110 | |
Paramount Care Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12011 Lee Jackson Memorial Hwy, Suite 230, Fairfax, VA 22033 Phone: 703-222-0002 Fax: 703-449-9890 | |
Boundless Nutrition Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13112 Moss Ranch Ln, Fairfax, VA 22033 Phone: 703-705-2720 | |
Shanmugam Mukundan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St, Suite 101, Fairfax, VA 22030 Phone: 703-349-1191 |