Individual provider Active NPI

Darlene Mansoor, M.D.

  • Allergy & Immunology Physician
  • Fairfax, VA
National Provider Identifier
1013131010
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101246155 Issued in VA
Practice address
3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240
Phone
(703) 876-2788
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0101246155 VA
Allergy & Immunology Physician 207K00000X 0101246155 VA Primary

Addresses

Primary practice location

3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240

Mailing address

PO Box 37215
Baltimore, MD 21297-3215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100419000062 DC Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 3971630252 Reassigns benefits to 2 organizations
I20150905000074 VA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 3971630252 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Apr 23, 2023 Accepting new patients
Inova Health Care Services CurrentSince Apr 23, 2023 Accepting new patients
Inova Health Care Services CurrentSince Apr 23, 2023 Accepting new patients
Pediatric Specialists of Virginia, LLC CurrentSince Jun 10, 2015 Accepting new patients
Children'S Hospital Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

3023 Hamaker Ct
Ste 300
Fairfax, VA 22031
Phone (703) 848-6627

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

14904 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 492-6660

Interoperability endpoints

  • Direct secure messaging: dmansoor161836@soc.inova.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1013131010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37215",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312240",
            "telephone_number": "703-876-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101246155",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101246155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.