Divya Bansal (NPI# 1407295215, PAC ID# 9638311194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1407295215 |
| PAC ID by PECOS | 9638311194 |
| Professional Enrollment ID | I20130813000089 |
| Full Name | Divya Bansal |
| Organization Legal Name | LOUDOUN MEDICAL GROUP PC |
| Address |
1860 Town Ctr Dr Reston VA 20190-5905 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0042119661 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8988 Lorton Station Blvd, Lorton, VA 22079-4758 | LOUDOUN MEDICAL GROUP PC | |
| 1860 Town Ctr Dr, Reston, VA 20190-5905 | LOUDOUN MEDICAL GROUP PC |
| Organization Legal Name | LOUDOUN MEDICAL GROUP PC |
| Physicians | 235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Cunningham | Nurse Practitioner | Loudoun Medical Group PC | 46165 Westlake Dr, 120 Potomac Family Practice, Sterling, VA 20165-5872 |
| Nazaneen Nassiry | Nurse Practitioner | Loudoun Medical Group PC | 21135 Whitefield Place, 107 Sterling Family Practice, Sterling, VA 20165-7279 |
| Clorissa Fischetti | Nurse Practitioner | Loudoun Medical Group PC | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 |
| Kenneth R Bergman | Allergy/immunology | Loudoun Medical Group PC | 13890 Braddock Rd, Suite 206, Centreville, VA 20121-2437 |
| Chi George Zhao | Sleep Medicine | Loudoun Medical Group PC | 14141 Robert Paris Ct, Chantilly, VA 20151-4201 |
| Kathleen M Pelkofski | Nurse Practitioner | Loudoun Medical Group PC | 921 E Main St, 2d, Purcellville, VA 20132-3133 |
| Scott J Hopson | Physical Therapy | Loudoun Medical Group PC | 205 Hirst Rd, Purcellville, VA 20132-6602 |
| Nauman J Akhtar | Orthopedic Surgery | Loudoun Medical Group PC | 224 D Cornwall St Nw, Suite 204, Leesburg, VA 20176-2701 |
| George Kevin Gillian | General Surgery | Loudoun Medical Group PC | 8988 Lorton Station Blvd, Suite 202, Lorton, VA 22079-4758 |
| Russell B Pearlman | Optometry | Loudoun Medical Group PC | 205 E Hirst Rd, 302 Loudoun Pediatric Associates, Purcellville, VA 20132-6198 |
| Street Address |
1860 TOWN CTR DR |
| City | RESTON |
| State | VA |
| Zip | 20190-5905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lavanya Nutankalva | Infectious Disease | 1860 Town Ctr Dr, Suite 310, Reston, VA 20190-5899 | |
| Tina F Barberan | Certified Registered Nurse Anesthetist (crna) | Outpatient Anesthesia Services of Reston, Ltd | 1860 Town Ctr Dr, G100, Reston, VA 20190-5897 |
| Christina Phan | Optometry | Loudoun Medical Group PC | 1860 Town Ctr Dr, Reston, VA 20190-5905 |
| Gabrielle T Pham-che | Physical Therapy | Town Center Orthopaedic Associates P C | 1860 Town Ctr Dr, Suite 300, Reston, VA 20190-5900 |
| Chinwe Obinwa | Nurse Practitioner | Medical Faculty Associates, Inc | 1860 Town Ctr Dr, Reston, VA 20190-5896 |
| Stephanie Yurochko Clop | Physical Medicine and Rehabilitation | Town Center Orthopaedic Associates P C | 1860 Town Ctr Dr, Suite 300, Reston, VA 20190-5900 |
| Natalie C Drummond | Physical Therapy | Town Center Orthopaedic Associates P C | 1860 Town Ctr Dr, Suite 300, Reston, VA 20190-5900 |
| Robin L Korin | Nurse Practitioner | Loudoun Medical Group PC | 1860 Town Ctr Dr, Reston, VA 20190-5905 |
| Vivian L Lugo-eschenwald | Family Medicine | Loudoun Medical Group PC | 1860 Town Ctr Dr, Reston, VA 20190-5905 |
| Raymond F Lower | Orthopedic Surgery | Countryside Orthopaedics PC | 1860 Town Ctr Dr, Reston, VA 20190-5896 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney E Hasseman | Certified Nurse Midwife | Specialty Physicians of Northern Virginia, LLC | 1860 Town Ctr Dr, Suite 440, Reston, VA 20190 |
| Dennis W Sager | Internal Medicine | 1800 Town Ctr Dr, Suite 313, Reston, VA 20190-3200 | |
| Andrew Harris Gordon | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Christina M Barnett | Physician Assistant | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Melissa Guerra | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Kellyann Clark | Nurse Practitioner | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Payam Pooyan | Internal Medicine | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Valerie Jones | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Juan A Trinidad | General Practice | 1800 Town Ctr Dr, Suite 310, Reston, VA 20190-3215 | |
| Donald G Hope | Neurosurgery | 1830 Town Ctr Dr, Suite 103, Reston, VA 20190-3216 | |
| Find all physicians in zip 20190 | |||
| City | RESTON |
| Zip Code | 20190 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RESTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Divya Bansal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.