Fair Oaks Ortho, PLLC
A Medicare group practice based in Fairfax, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8921492083), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8921492083
- Provider type
- DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
- Enrolled in
- DC, VA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20220307000940 | DC | Part B Supplier - Clinic/Group Practice | 1518626480 |
| O20230518001554 | VA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1750090973 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Fair Oaks Ortho, PLLC
- Orthopaedic Surgery Physician
- Fairfax, VA
- NPI 1518626480
-
Fair Oaks Ortho, PLLC
- Durable Medical Equipment & Medical Supplies
- Fairfax, VA
- NPI 1750090973
Practice locations
- Fairfax, VA3
- Reston, VA1
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Da Yon Park, PA-C
- Physician Assistant
- Fairfax, VA
- NPI 1053883579
-
Stephen W Pournaras Jr., M D
- Orthopaedic Hand Surgery Physician
- Fairfax, VA
- NPI 1821088816
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.