Individual provider Active NPI

Jonathan Ee Yager, MD

  • Cardiovascular Disease Physician
  • Fairfax, VA
National Provider Identifier
1043302615
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101237803 Issued in VA
Practice address
3023 Hamaker CT
Suite 100
Fairfax, VA 22031-5216
Phone
(703) 641-9161
Fax
(703) 641-0383
NPI assigned
Sep 29, 2006
Last updated
Dec 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101237803 VA Primary
Cardiovascular Disease Physician 207RC0000X 200300917 NC

Addresses

Primary practice location

3023 Hamaker CT
Suite 100
Fairfax, VA 22031-5216

Mailing address

3023 Hamaker CT
Suite 100
Fairfax, VA 22031-5216
Phone (703) 641-9161

Other identifiers 16

IdentifierTypeStateIssuer
7529665OtherAETNA PPO
3780441OtherAETNA HMO
541977219OtherUNITED HEALTHCARE
541977219OtherMDIPA
177226OtherANTHEM
541977219OtherNALC AFFORDABLE
2131272OtherMDIPA
541977219OtherCIGNA
010145104MedicaidVA
2518145OtherUNITED HEALTHCARE
5726OtherCAREFIRST
177226OtherANTHEM HEALTHKEEPERS PLUS
2131272OtherMAMSI
6069437OtherCIGNA
0010OtherCAREFIRST
541977219OtherAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20050422001130 VA Practitioner - Cardiovascular Disease (Cardiology) 2860430428 Reassigns benefits to 2 organizations
I20050428000159 DC Practitioner - Cardiovascular Disease (Cardiology) 2860430428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Reston Hospital Center LLCGroup PAC ID 4587602255, 10 clinicians

Practice addresses (Care Compare)

1830 Town Ctr Dr
Reston, VA 20190-3292
Phone (703) 481-3165

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

1850 Town Ctr Pkwy
Reston, VA 20190-3219
Phone (703) 689-9000

3300 Gallows Rd
Falls Church, VA 22042-3307

44084 Riverside Pkwy
Suite 150
Lansdowne, VA 20176-5158
Phone (703) 858-3185

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200300917NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Cardiovascular Disease CurrentSince Feb 8, 2014 Accepting new patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Inova Health Care Services CurrentSince Apr 18, 2015 Accepting new patients
Inova Health Care Services CurrentSince Sep 1, 2013 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 8, 2014 Accepting new patients
Inova Health Care Services CurrentSince Sep 1, 2013 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

3023 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 641-9161

8316 Arlington Blvd
Ste 500
Fairfax, VA 22031
Phone (703) 641-9161

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

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

44055 Riverside Pkwy
Ste 244
Leesburg, VA 20176
Phone (703) 858-3180

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jonathan.yager.1@8042.direct.athenahealth.com

Organizations & group practices 9

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

Hospital & facility affiliations 7

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1043302615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315216",
            "telephone_number": "703-641-9161",
            "fax_number": "703-641-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315216",
            "telephone_number": "703-641-9161",
            "fax_number": "703-641-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "JONATHAN",
        "middle_name": "EE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101237803",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200300917",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7529665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3780441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "541977219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "541977219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "177226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NALC AFFORDABLE",
            "identifier": "541977219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "2131272",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "541977219",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010145104",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2518145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "5726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS PLUS",
            "identifier": "177226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2131272",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6069437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "541977219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.