NIDHI REVA P.A.
NPI 1104128735
Physician Assistant - Medical in Alexandria, VA

Active since December 02, 2010Opted out of Medicare · through Apr 1, 2027
77.36/100
CMS Quality Rating
700 S WASHINGTON ST STE 300, ALEXANDRIA, VA 22314(703) 940-3364(703) 717-4055 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Jun 25, 2018 (2 updates tracked since 2018).

About Nidhi Reva P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIDHI REVA P.A. (NPI 1104128735) is an individual medical provider in Alexandria, Virginia, licensed in Virginia (0110002141) and active in the NPI registry since December 2010. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104128735
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNIDHI REVACredential: P.A.
Location Address700 S WASHINGTON ST STE 300Alexandria, VA 22314-4287
Mailing Address700 S Washington St Ste 300Alexandria, VA 22314-4287 · (703) 940-3364 · Fax (703) 717-4055
Fax(703) 717-4055
Sole ProprietorNo
Enumeration DateDecember 2, 2010
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1104128735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in VA · 0110002141 Licensed in DC · PA030381
700 S WASHINGTON ST STE 300, Alexandria, VA 22314

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nidhi Reva P.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.82
Promoting Interoperability87
Improvement Activities40
Cost54.56

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
700 S WASHINGTON ST STE 300
ALEXANDRIA, VA 22314
Obstetrics & Gynecology
700 S WASHINGTON ST STE 300
ALEXANDRIA, VA 22314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nidhi Reva's NPI number?

The NPI number for Nidhi Reva is 1104128735. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Where is Nidhi Reva located?

Nidhi Reva practices at 700 S Washington St Ste 300, Alexandria, VA 22314. The listed phone number is (703) 940-3364.

What is Nidhi Reva's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nidhi Reva enrolled in Medicare?

No. Nidhi Reva has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nidhi Reva was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.