Alex P Pavidapha, MD - Medicare Interventional Radiology in Reston, VA

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Alex P Pavidapha, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Reston, Virginia. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Potomac Urology Center, P.c., Gastroenterology Associates Of Northern Virginia, Llc and his current practice location is 1801 Robert Fulton Drive, Suite 510, Reston, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 783-5355.

Alex P Pavidapha is licensed to practice in Virginia (license number 0101273549) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053799585.

Contact Information

Alex P Pavidapha, MD
1801 Robert Fulton Drive, Suite 510,
Reston, VA 20191-5481
(703) 783-5355
Not Available

Map and Direction




Physician's Profile

Full NameAlex P Pavidapha
GenderMale
SpecialityInterventional Radiology
Experience9 Years
Location1801 Robert Fulton Drive, Suite 510, Reston, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alex P Pavidapha graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1053799585
  • Provider Enumeration Date: 05/17/2015
  • Last Update Date: 06/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769774801
  • Enrollment ID: I20220211001177

Medical Identifiers

Medical identifiers for Alex P Pavidapha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053799585NPI-NPPES
1053799585MedicaidVA
30017438440001MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0101273549 (Virginia)Secondary
2085R0202XRadiology - Diagnostic Radiology 287471 (Massachusetts)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 287471 (Massachusetts)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 0101273549 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Potomac Urology Center, P.c.155732940617
Gastroenterology Associates Of Northern Virginia, Llc175937100879

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alex P Pavidapha allows following entities to bill medicare on his behalf.
Entity NameLoudoun Medical Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407908817
PECOS PAC ID: 0042119661
Enrollment ID: O20040102000616
Entity NameAnderson Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568488799
PECOS PAC ID: 2264331263
Enrollment ID: O20040108000482
Entity NameGastroenterology Associates Of Northern Virginia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205884368
PECOS PAC ID: 1759371008
Enrollment ID: O20040517001478
Entity NamePotomac Urology Center, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861588592
PECOS PAC ID: 1557329406
Enrollment ID: O20041227000203

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alex P Pavidapha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alex P Pavidapha, MD
224-d Cornwall Street, Nw, Suite 403,
Leesburg, VA 20176-2704

Ph: (703) 737-6010		Alex P Pavidapha, MD
1801 Robert Fulton Drive, Suite 510,
Reston, VA 20191-5481

Ph: (703) 783-5355

Reviews and Comments


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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.