NORTHERN VIRGINIA NEPHROLOGY ASSOCIATES PC
NPI 1770632630
Internal Medicine - Nephrology in Fairfax, VA

Active since January 09, 2007
3650 JOSEPH SIEWICK DR STE 310, FAIRFAX, VA 22033(703) 758-8800(703) 758-9500 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northern Virginia Nephrology Associates Pc NPPES

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

NORTHERN VIRGINIA NEPHROLOGY ASSOCIATES PC (NPI 1770632630) is a healthcare organization registered as a nephrology in Fairfax, Virginia and active in the NPI registry since January 2007. The organization lists Magnus K Ikhinmwin, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1770632630
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHERN VIRGINIA NEPHROLOGY ASSOCIATES PC
Location Address3650 JOSEPH SIEWICK DR STE 310Fairfax, VA 22033-1715
Mailing Address10882 Mimosa PlaceOakton, VA 22124 · (703) 204-1614 · Fax (703) 204-1826
Fax(703) 758-9500
Organization SubpartNo
Authorized OfficialMagnus K IkhinmwinMedical Director · (703) 204-1614
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1770632630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in VA · 0101057344
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3650 JOSEPH SIEWICK DR STE 310, Fairfax, VA 22033

Other Identifiers 19

Other1102268673Medicare Railroad
Other2614802Aetna Hmo
Other41838Gwu Hp
OtherF078 0001Bc Carefirst
Other08492993AGeorgia Medicaid
Other289502Alliance Ppo
Other319481Anthem
Medicaid005856141VA
OtherXYPLA8274California Medicaid
Other00B485N64DC · Dc Medicare
Other490807Medicare
Other1121069First Health
Other279891Amerigroup
Other5972317Aetna Ppo
Other00V069N17Va Medicare
Other391480Anthem
Other5402030870Aarp United Healthcare
Other8989317Cigna
Other9458135California Medicaid

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Internal Medicine (Nephrology)
3650 JOSEPH SIEWICK DR STE 310
FAIRFAX, VA 22033
Nurse Practitioner
3650 JOSEPH SIEWICK DR STE 310
FAIRFAX, VA 22033

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 Northern Virginia Nephrology Associates PC's NPI number?

The NPI number for Northern Virginia Nephrology Associates PC is 1770632630. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Northern Virginia Nephrology Associates PC located?

Northern Virginia Nephrology Associates PC is located at 3650 Joseph Siewick Dr Ste 310, Fairfax, VA 22033. The listed phone number is (703) 758-8800.

What is Northern Virginia Nephrology Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Northern Virginia Nephrology Associates PC was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.