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DINRAJ HEGDE MD
NPI 1184612178
Family Medicine in Fairfax, VA

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
10530 ROSEHAVEN ST, FAIRFAX, VA 22030(703) 938-0363(703) 938-8653 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dinraj Hegde Md NPPES

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

DINRAJ HEGDE MD (NPI 1184612178) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0101267175) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1184612178
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDINRAJ HEGDECredential: MD
Location Address10530 ROSEHAVEN STFairfax, VA 22030-2840
Mailing Address10530 Rosehaven StFairfax, VA 22030-2840 · (703) 938-0363 · Fax (703) 938-8653
Phone(703) 938-0363
Fax(703) 938-8653
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 12, 2005
Last NPPES UpdateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1184612178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101267175✔ Licensed in IL · 036112944✔ Licensed in TX · N2112
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10530 ROSEHAVEN ST, Fairfax, VA 22030
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Other Identifiers 1

Medicaid036112944IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dinraj Hegde Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941240964
PECOS Enrollment IDI20200103001781
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Dinraj Hegde reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Physician Partners, LLC
6.7 mi
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 379 clinicians in this Medicare group
NPI 1215264916 (703) 321-2609
Millenium Medical Corp
14 mi
Family Medicine
13168 CENTERPOINTE WAY STE 101
Woodbridge, VA 22193
  • Reassigned Medicare billing, District of Columbia enrollment
  • 34 clinicians in this Medicare group
NPI 1740443183 (703) 730-2000
Cogent Healthcare Of Arizona PC
1,918 mi
Internal Medicine
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 372 clinicians in this Medicare group
NPI 1568758266 (520) 417-4594
Vhs Outpatient Clinics, Inc.
1,982 mi
Multi-Specialty
1325 N LITCHFIELD RD STE 125
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 267 clinicians in this Medicare group
NPI 1912979964 (623) 242-1231

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
416 services199 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
89 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

JONATHAN J PARK D.M.D.,M.D.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
HENRY W. ZUSSMAN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
JEFFREY A LANE D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
FAIRFAX ORAL AND MAXILLOFACIAL SURGERY PC
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
PATRICK J DOLAN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
KIMBERLY A SILLOWAY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
PETER W. SMITH D.D.S.
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST, SUITE 111
FAIRFAX, VA 22030
Fairfax City (703) 385-5777
DR. CYRUS A RAMSEY DMD MD
Dentist (Oral and Maxillofacial Surgery)
10530 ROSEHAVEN ST
FAIRFAX, VA 22030
Fairfax City (703) 385-5777

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 Dinraj Hegde's NPI number?

The NPI number for Dinraj Hegde is 1184612178. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Dinraj Hegde located?

Dinraj Hegde practices at 10530 Rosehaven St, Fairfax, VA 22030. The listed phone number is (703) 938-0363.

What is Dinraj Hegde's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dinraj Hegde enrolled in Medicare?

Yes. Dinraj Hegde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dinraj Hegde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dinraj Hegde reassigns Medicare benefits to 4 organizations: Inova Physician Partners, LLC (Chantilly, VA), Millenium Medical Corp (Woodbridge, VA), Cogent Healthcare Of Arizona PC (Sierra Vista, AZ) and Vhs Outpatient Clinics, Inc. (Goodyear, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dinraj Hegde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dinraj Hegde accept?

Health plans from Oscar Health list Dinraj Hegde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dinraj Hegde affiliated with any hospitals?

According to CMS data, Dinraj Hegde is affiliated with Inova Fairfax Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Dinraj Hegde was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.