Individual provider Active NPI

Sarah Blank, M.D.

  • Otolaryngology Physician
  • Falls Church, VA
National Provider Identifier
1013238021
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2010017826 Issued in MO
Practice address
8120 Gatehouse Rd
Falls Church, VA 22042-1204
Phone
(703) 534-3314
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2010017826 MO Primary
Otolaryngology Physician 207Y00000X 0101258083 VA

Addresses

Primary practice location

8120 Gatehouse Rd
Falls Church, VA 22042-1204

Mailing address

8120 Gatehouse Rd
Falls Church, VA 22042-1204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151006002767 DC Practitioner - Otolaryngology 7113155102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfax ENT and Facial Plastic Surgery PCGroup PAC ID 3678471885, 5 clinicians

Practice addresses (Care Compare)

8120 Gatehouse Rd
Falls Church, VA 22042-1204
Phone (703) 573-3687

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010017826MOMDOtolaryngology Physician
0101258083VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax ENT & Facial Plastic Surgery, PC CurrentSince Aug 19, 2015 Accepting new patients
Fairfax Hearing Center, Inc Past Accepting new patients

Locations

8120 Gatehouse Rd
Fl Third
Falls Church, VA 22042
Phone (703) 204-2771

8120 Gatehouse Rd
Fl 3
Falls Church, VA 22042
Phone (703) 573-3687

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1013238021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 GATEHOUSE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 GATEHOUSE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421204",
            "telephone_number": "703-534-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2010017826",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101258083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.