Gastroenterology Associates Of Northern Virginia, Llc - Medicare Primary Care in Fairfax, VA

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Gastroenterology Associates Of Northern Virginia, Llc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Fairfax, Virginia. The current practice location for Gastroenterology Associates Of Northern Virginia, Llc is 3700 Joseph Siewick Dr., Suite 308, Fairfax, Virginia. For appointments, you can reach them via phone at (703) 716-8700. The mailing address for Gastroenterology Associates Of Northern Virginia, Llc is 3700 Joseph Siewick Dr., Suite 308, Fairfax, Virginia and phone number is (703) 716-8700.

Gastroenterology Associates Of Northern Virginia, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205884368. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (703) 716-8700.

Contact Information

Gastroenterology Associates Of Northern Virginia, Llc
3700 Joseph Siewick Dr.
Suite 308
Fairfax
VA 22033-1739
(703) 716-8700
(703) 716-8703

Map and Direction


Primary Care Clinic Profile

Full NameGastroenterology Associates Of Northern Virginia, Llc
SpecialityInternal Medicine
Location3700 Joseph Siewick Dr., Fairfax, Virginia
Authorized Official Name and PositionAlan Oliver (CEO)
Authorized Official Contact7865303820
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1205884368
Provider Enumeration Date05/04/2006
Last Update Date05/15/2025

Medicare PECOS Information:

Medicare PECOS PAC ID1759371008
Medicare Enrollment IDO20040517001478

Medical Identifiers

Medical identifiers for Gastroenterology Associates Of Northern Virginia, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205884368NPI-NPPES
CD8396OtherVARAILROAD MEDICARE
3810003805MedicaidVA
178704OtherVAANTHEM BCBS
104411OtherKAISER
7916OtherCAREFIRST BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary
2080P0206XPediatrics - Pediatric Gastroenterology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gastroenterology Associates Of Northern Virginia, Llc acts as a billing entity for following providers:
Provider NameNader Balba
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1013949254
PECOS PAC ID: 2062402308
Enrollment ID: I20040517001452
Provider NameRonald J Barkin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477623650
PECOS PAC ID: 7012987480
Enrollment ID: I20040831001519
Provider NameAtul V Marathe
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1326034695
PECOS PAC ID: 6800852310
Enrollment ID: I20041207000393
Provider NameJack C Huang
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1003802380
PECOS PAC ID: 8628051455
Enrollment ID: I20041207000408
Provider NameKenneth N Josovitz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1922094580
PECOS PAC ID: 1759364573
Enrollment ID: I20041207000425
Provider NameMahmood Abedi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1649255233
PECOS PAC ID: 5193783264
Enrollment ID: I20041221000972
Provider NameMichael Brown
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1861488637
PECOS PAC ID: 3971551938
Enrollment ID: I20050107000056
Provider NameEduardo Noguera
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1295791176
PECOS PAC ID: 0446209514
Enrollment ID: I20050114000679
Provider NameBehzad Kalaghchi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1356337158
PECOS PAC ID: 2466412739
Enrollment ID: I20050223000933
Provider NameEmil Valle
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1497711238
PECOS PAC ID: 5395734354
Enrollment ID: I20050510000634
Provider NameMohammad H Razavi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1639167661
PECOS PAC ID: 9537114343
Enrollment ID: I20050909000162
Provider NameWaseem Ismail Aziz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1023038270
PECOS PAC ID: 9436184116
Enrollment ID: I20050930000617
Provider NameShilen Lakhani
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871503599
PECOS PAC ID: 3678596558
Enrollment ID: I20060105000805
Provider NameJeremias Tan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699723213
PECOS PAC ID: 2860405628
Enrollment ID: I20060720000241
Provider NameJames A Henry
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1619954351
PECOS PAC ID: 9931131489
Enrollment ID: I20061011000764
Provider NameAhmed M Hegab
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1699793372
PECOS PAC ID: 4486603099
Enrollment ID: I20070316000072
Provider NameSandeep Bagla
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689718611
PECOS PAC ID: 9739280132
Enrollment ID: I20070730000620
Provider NameAsma Khapra
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1770702011
PECOS PAC ID: 4688757594
Enrollment ID: I20080215000452
Provider NameAnita Wolke
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1215993068
PECOS PAC ID: 9537122965
Enrollment ID: I20080728000009
Provider NameMu K Hong
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1346251196
PECOS PAC ID: 8022144294
Enrollment ID: I20100326000350
Provider NameRupa N Shah
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1740209147
PECOS PAC ID: 9234160466
Enrollment ID: I20100608000813
Provider NameJerome T Oconnell
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1861516718
PECOS PAC ID: 0042403461
Enrollment ID: I20110315000409
Provider NamePeter Scudera
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063488575
PECOS PAC ID: 9133145477
Enrollment ID: I20110330000301
Provider NameTonya Adams
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1861472862
PECOS PAC ID: 1850317199
Enrollment ID: I20110330000339
Provider NameMichael Garone
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1255311189
PECOS PAC ID: 4587680822
Enrollment ID: I20110331000102
Provider NameKenneth R Mirkin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1952372542
PECOS PAC ID: 4385660638
Enrollment ID: I20110429000169
Provider NameAndrew Axelrad
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1073579876
PECOS PAC ID: 2567563570
Enrollment ID: I20110520000688
Provider NameByungki Kim
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1255307906
PECOS PAC ID: 0446277040
Enrollment ID: I20110523000307
Provider NameSuresh Kumar Malhotra
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1942370127
PECOS PAC ID: 9830169200
Enrollment ID: I20110603000107
Provider NameFrank Procaccino
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477658193
PECOS PAC ID: 2860679172
Enrollment ID: I20110613000728
Provider NameAlan Plotner
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1114983004
PECOS PAC ID: 1557462561
Enrollment ID: I20110627000508
Provider NameNitin K Sardana
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1760648059
PECOS PAC ID: 7214106509
Enrollment ID: I20110802000626
Provider NameMinal Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1588848089
PECOS PAC ID: 5890966337
Enrollment ID: I20110914000268
Provider NameAmy G. Shah
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1093923757
PECOS PAC ID: 3476709650
Enrollment ID: I20120817000149
Provider NameBenjamin E Young
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1326205113
PECOS PAC ID: 6204090566
Enrollment ID: I20130918000233
Provider NameAnisha Thadani
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1346403920
PECOS PAC ID: 7810157443
Enrollment ID: I20131011000072
Provider NameGhazaleh Aram
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1154499069
PECOS PAC ID: 5597814962
Enrollment ID: I20131024000127
Provider NameBezawit Tekola
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1770742595
PECOS PAC ID: 8022246974
Enrollment ID: I20140822001853
Provider NameFelice Banson
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1962407924
PECOS PAC ID: 9335136191
Enrollment ID: I20141222002232
Provider NameArunan Siva Vamadevan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1457546236
PECOS PAC ID: 4486975562
Enrollment ID: I20150601001978
Provider NameTina Polley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548657117
PECOS PAC ID: 8022320258
Enrollment ID: I20150701000536
Provider NameAli Kazemi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1609019520
PECOS PAC ID: 0244406809
Enrollment ID: I20150825004589
Provider NameIvan Peter Harnden
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1568781706
PECOS PAC ID: 0042504268
Enrollment ID: I20160811000928
Provider NameIris Hyun Lee
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1881911667
PECOS PAC ID: 4284933490
Enrollment ID: I20160901002476
Provider NameRachel L Piechowiak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679867212
PECOS PAC ID: 5092961029
Enrollment ID: I20161018002612
Provider NameNicholas Wilson
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477872158
PECOS PAC ID: 9133499155
Enrollment ID: I20170725001788
Provider NameNicole L Dease
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972167666
PECOS PAC ID: 2769818228
Enrollment ID: I20200203000417
Provider NameRahul Dev Kataria
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538401831
PECOS PAC ID: 0547557118
Enrollment ID: I20200831002594
Provider NameMohamed A Sultan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1831320571
PECOS PAC ID: 5092021832
Enrollment ID: I20201111000193
Provider NameBrittany A Stivers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720612294
PECOS PAC ID: 2567875263
Enrollment ID: I20210209000226
Provider NameVishant Ramadorai
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1467848473
PECOS PAC ID: 6507173275
Enrollment ID: I20210707003218
Provider NameJavelle A Wynter
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1659799906
PECOS PAC ID: 2769604263
Enrollment ID: I20210709002252
Provider NameJoel Andrew Wolf
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1306233911
PECOS PAC ID: 3072916204
Enrollment ID: I20210727000106
Provider NameJessica Trevino
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1912946484
PECOS PAC ID: 8426240755
Enrollment ID: I20210908000111
Provider NameAlex Pavidapha
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1053799585
PECOS PAC ID: 2769774801
Enrollment ID: I20220211001177
Provider NameChristine Nicole Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639658875
PECOS PAC ID: 7012255359
Enrollment ID: I20220525001119
Provider NameMonica Passi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1568859031
PECOS PAC ID: 3274870274
Enrollment ID: I20220607003409
Provider NameCourtney Marie Worner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720759673
PECOS PAC ID: 1557756038
Enrollment ID: I20220608003147
Provider NameSusan M Zemitis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093483505
PECOS PAC ID: 2062895873
Enrollment ID: I20220811001332
Provider NameClaudine Morcos
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1629206610
PECOS PAC ID: 4880860287
Enrollment ID: I20220923000453
Provider NameArun Reddy Mannem
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871721019
PECOS PAC ID: 7810143310
Enrollment ID: I20220930002485
Provider NameEmily Munro Christman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1083677199
PECOS PAC ID: 6709042930
Enrollment ID: I20221003000094
Provider NameDavid Balaban
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1225035959
PECOS PAC ID: 2163553157
Enrollment ID: I20221003003002
Provider NameCatherine Easter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881647444
PECOS PAC ID: 2961580246
Enrollment ID: I20221012000815
Provider NameDonna Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396744231
PECOS PAC ID: 3779660667
Enrollment ID: I20221012001027
Provider NameAmy Mcdonnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770582702
PECOS PAC ID: 5496840936
Enrollment ID: I20221013001339
Provider NameDaniel John Pambianco
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1760489488
PECOS PAC ID: 4587795562
Enrollment ID: I20221013002060
Provider NameElliot Smith
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1548559081
PECOS PAC ID: 9537398375
Enrollment ID: I20221102000035
Provider NameCaroline Eri Hong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700352382
PECOS PAC ID: 4385012129
Enrollment ID: I20221129003088
Provider NameMolly Anne Asper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992422711
PECOS PAC ID: 6002285533
Enrollment ID: I20221206000514
Provider NameDiego Alonso Gomez
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1003815408
PECOS PAC ID: 4183755283
Enrollment ID: I20221207002868
Provider NameMillicent Animley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760104913
PECOS PAC ID: 2365812336
Enrollment ID: I20230109001197
Provider NameSylvia Satiyaselan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033846225
PECOS PAC ID: 9032581954
Enrollment ID: I20230209002991
Provider NameMichelle K Wrieden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790475879
PECOS PAC ID: 8426407156
Enrollment ID: I20231208002961
Provider NameAli Asif Khan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1801320957
PECOS PAC ID: 7416229463
Enrollment ID: I20240108005035
Provider NameHina Qureshi
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1568488286
PECOS PAC ID: 7517150071
Enrollment ID: I20240117002359
Provider NameMuhammad Khokhar
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1033145586
PECOS PAC ID: 6406868868
Enrollment ID: I20240123003850
Provider NameLeah Blatzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023667649
PECOS PAC ID: 5890118681
Enrollment ID: I20240129003070
Provider NameBrian Benson
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1740574870
PECOS PAC ID: 3678887924
Enrollment ID: I20240222002798
Provider NameMaja Strollo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154028009
PECOS PAC ID: 8123484755
Enrollment ID: I20240306003102
Provider NameAmen Otunba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043914245
PECOS PAC ID: 1456718626
Enrollment ID: I20240501000100
Provider NameSabeeha Rahman Chowdhury
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1184129413
PECOS PAC ID: 0749621381
Enrollment ID: I20240514000302
Provider NameRabelle Siddiki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912764846
PECOS PAC ID: 5799229266
Enrollment ID: I20240626001510
Provider NameDuo Xu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508645771
PECOS PAC ID: 3577007483
Enrollment ID: I20240702004633
Provider NameMegan Bastawrous
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467275842
PECOS PAC ID: 7416483946
Enrollment ID: I20241208000065
Provider NameJaclyn Nicole Turet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932819901
PECOS PAC ID: 8022546076
Enrollment ID: I20250103003287
Provider NameWendy Nicole Holt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346407574
PECOS PAC ID: 6406928175
Enrollment ID: I20250324002737

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.