| Hillendale Medical Care | |
|
13168 Centerpointe Way Ste 101 Woodbridge VA 22193-5287 | |
| (703) 730-2000 | |
| (703) 730-6767 |
| Full Name | Hillendale Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 13168 Centerpointe Way Ste 101, Woodbridge, Virginia |
| Authorized Official Name and Position | Arun Kumar Sekaran (CEO) |
| Authorized Official Contact | 7038682713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillendale Medical Care 6356 Hoadly Rd Manassas VA 20112-3422 Ph: (703) 590-5999 | Hillendale Medical Care 13168 Centerpointe Way Ste 101 Woodbridge VA 22193-5287 Ph: (703) 730-2000 |
| NPI Number | 1740443183 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 9335201177 |
|---|---|
| Medicare Enrollment ID | O20090102000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740443183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Reena R Bommasani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427061381 PECOS PAC ID: 6800863226 Enrollment ID: I20040915000398 |
| Provider Name | Carlos J Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972648103 PECOS PAC ID: 8325193337 Enrollment ID: I20090827000061 |
| Provider Name | Lynn Grillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588615710 PECOS PAC ID: 1052411188 Enrollment ID: I20120112000840 |
| Provider Name | Gayatri K Vaddadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902034655 PECOS PAC ID: 5991935884 Enrollment ID: I20140327000749 |
| Provider Name | Priya Murthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538421060 PECOS PAC ID: 7113150251 Enrollment ID: I20180126002378 |
| Provider Name | Rajitha Siddineni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154552891 PECOS PAC ID: 7315093952 Enrollment ID: I20180129000617 |
| Provider Name | Manmohan K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255691168 PECOS PAC ID: 0941420889 Enrollment ID: I20180131000514 |
| Provider Name | Priyanka Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417342221 PECOS PAC ID: 6305142464 Enrollment ID: I20190923000599 |
| Provider Name | Ezra Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770557183 PECOS PAC ID: 0042645368 Enrollment ID: I20200319001446 |
| Provider Name | Ann Kavitha James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770120586 PECOS PAC ID: 3072938919 Enrollment ID: I20200810000648 |
| Provider Name | Payam Mir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104302348 PECOS PAC ID: 0547519928 Enrollment ID: I20210810001050 |
| Provider Name | Anu Jeswin George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699345181 PECOS PAC ID: 8224427430 Enrollment ID: I20211109003070 |
| Provider Name | Zonaira Shabbir Memon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679130991 PECOS PAC ID: 6901239698 Enrollment ID: I20230216000188 |
| Provider Name | Saad Nasir Karamat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386105708 PECOS PAC ID: 4880051259 Enrollment ID: I20230531002047 |
| Provider Name | Cheryl Ann Stoddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659058139 PECOS PAC ID: 9931569035 Enrollment ID: I20230720004284 |
| Provider Name | Manpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194406959 PECOS PAC ID: 7911361324 Enrollment ID: I20230918002376 |
| Provider Name | Dennis Incorvati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124089784 PECOS PAC ID: 4981507894 Enrollment ID: I20231128003855 |
| Provider Name | Senthil Nayagan Sundaram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831195049 PECOS PAC ID: 2860388717 Enrollment ID: I20240215003872 |
| Provider Name | Lilian Gobrial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811512684 PECOS PAC ID: 6709291537 Enrollment ID: I20240320003066 |
| Provider Name | Yvette Urena-peralta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326803107 PECOS PAC ID: 6204275092 Enrollment ID: I20240412001310 |
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