POTOMAC UROLOGY CENTER, P.C. (NPI# 1861588592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861588592 |
| Entity Type | Organization |
| Organization Name | POTOMAC UROLOGY CENTER, P.C. |
| Practice Address |
2296 Opitz Blvd Suite 350 Woodbridge VA 22191-3300 |
| Practice Telephone | 7036802111 |
| Practice Fax Number | 7038783939 |
| Mailing Telephone | 7036802111 |
| Mailing Fax Number | 7038783939 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-12-08 |
| Authorized Official Name | DR. PRATIK S DESAI (OWNER) |
| Authorized Official Telephone | 7036802111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0101027073 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | CIGNA | 0675283010 | 01 |
| VA | RR MEDICARE | DF9153 | 01 |
| VA | CAREFIRST | 23890001 | 01 |
| VA | AETNA | 4081469 | 01 |
| VA | ANTHEM | 002430 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315929 | Potomac Urology Center, P.C. | Urology | 1800 N Beauregard St Ste 300, Alexandria, VA 22311-5879 | 2020-01-15 |
| Street Address |
2296 OPITZ BLVD SUITE 350 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254263 | Robert A Sikora Jr. | Allergy & Immunology | 2296 Opitz Blvd, Ste 401, Woodbridge, VA 22191-3347 | 2005-06-09 |
| 1730536921 | Janet O'connor | General Practice | 2296 Opitz Blvd, #255, Woodbridge, VA 22191-3300 | 2016-05-18 |
| 1134545775 | Sentara Medical Group | Psychiatry & Neurology | 2296 Opitz Blvd, Ste 290, Woodbridge, VA 22191-3300 | 2014-03-06 |
| 1093075319 | Sentara Medical Group | Surgery | 2296 Opitz Blvd, Ste 260a, Woodbridge, VA 22191-3300 | 2012-05-21 |
| 1740561471 | Andrew V. Kriegel, Md, LLC | Plastic Surgery | 2296 Opitz Blvd, Suite 210, Woodbridge, VA 22191-3300 | 2011-09-08 |
| 1063734820 | Morteza S. Mousavi, M.d., P.C. | Specialist | 2296 Opitz Blvd, Suite 340, Woodbridge, VA 22191-3300 | 2010-02-22 |
| 1588896625 | Jennifer Leigh Folks | Nurse Practitioner | 2296 Opitz Blvd, #440, Woodbridge, VA 22191-3300 | 2009-08-21 |
| 1003051897 | Potomac Pediatrics, P.C. | Clinic/Center | 2296 Opitz Blvd, Suite 510, Woodbridge, VA 22191-3300 | 2008-12-08 |
| 1861657488 | Nilay Gandhi | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2008-07-23 |
| 1528229622 | Steven Nakao | Surgery | 2296 Opitz Blvd, Ste 260, Woodbridge, VA 22191-3300 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487095451 | Alan Cahn Davidson | Urology | 15 Edgehill Dr, Woodbridge, CT 06525-1418 | 2013-07-08 |
| 1801812847 | Inderjit Singh Md PC | Urology | 14904 Jefferson Davis Highway, Ste 208, Woodbridge, VA 22191 | 2006-07-14 |
| 1861657488 | Nilay Gandhi | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2008-07-23 |
| 1184899650 | John Brian Klein | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2008-04-25 |
| 1811168966 | Alok S Desai | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2008-03-17 |
| 1194886341 | William C Reha Md | Urology | 2296 Opitz Blvd., Suite 220, Woodbridge, VA 22191 | 2006-12-12 |
| 1144337114 | Ek Seng Lou | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 | 2006-08-24 |
| 1689632960 | William C. Reha | Urology | 2296 Opitz Blvd, #220, Woodbridge, VA 22191 | 2006-05-03 |
| 1205822640 | Pratik S Desai | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315929 | Potomac Urology Center, P.C. | Urology | 1800 N Beauregard St Ste 300, Alexandria, VA 22311-5879 | 2020-01-15 |
| 1477015170 | Eric J W Choe Md PC | Urology | 2826 Old Lee Hwy Ste 300, Fairfax, VA 22031-4346 | 2019-04-02 |
| 1477055317 | Blue Ridge Medical Management Corporation | Urology | 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 | 2018-03-07 |
| 1588185797 | Urology Health Consulting PC | Urology | 44055 Riverside Pkwy Ste 244, Leesburg, VA 20176-5176 | 2017-06-28 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1124435664 | Chesterfield Urology, LLC | Urology | 16901 Blakeway Pl, Moseley, VA 23120-1369 | 2014-07-16 |
| 1679918700 | Amanda P Stiteler | Urology | 120 Kings Way Ste 3200, Williamsburg, VA 23185-2511 | 2013-05-02 |
| 1801137963 | Joel Barry Alperstein | Urology | 4041 University Dr Ste 450, Fairfax, VA 22030-3410 | 2013-03-13 |
| 1417261256 | Nicanor B. Concepcion, M.d. P.C. | Urology | 624 Park Avenue, Norton, VA 24273-0909 | 2010-08-04 |
| 1780902981 | Paulina G Wilson | Urology | 8503 Arlington Blvd Ste 310, Fairfax, VA 22031-4629 | 2010-05-12 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.