NPIMap

Individual provider Active NPI

Paul Steven Modlinger, M.D.

  • Nephrology Physician
  • Fairfax, VA
National Provider Identifier
1053405688
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101236049 Issued in VA
Practice address
3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone
(703) 246-9246
Fax
(703) 246-9257
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101236049 VA Primary

Addresses

Primary practice location

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738

Mailing address

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone (703) 246-9246

Other identifiers 17

IdentifierTypeStateIssuer
010083770MedicaidVA
010085811MedicaidVA
010184983MedicaidVA
010085918MedicaidVA
010085683MedicaidVA
010085837MedicaidVA
010085691MedicaidVA
010085829MedicaidVA
010085934MedicaidVA
010124743MedicaidVA
9202002OtherCIGNA
47430007OtherCAREFIRST
010083753MedicaidVA
010085845MedicaidVA
2128905OtherMAMSI
010085721MedicaidVA
010085870MedicaidVA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041113000078 DC Practitioner - Nephrology 5597729160 Reassigns benefits to 1 organization
I20120724000239 VA Practitioner - Nephrology 5597729160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Nephrology Group LLP 15 clinicians

Practice addresses (Care Compare)

1635 N George Mason Dr
Suite 215
Arlington, VA 22205-3606
Phone (703) 841-0707

3930 Walnut St
Fairfax, VA 22030-4750
Phone (703) 246-9246

3930 Walnut St
Suite 101
Fairfax, VA 22030-4738

Hospital & facility affiliations

  • Usrc Arlington County Dialysis facility, Arlington, VA, CCN 492602
  • DaVita Fairfax Dialysis Center Dialysis facility, Fairfax, VA, CCN 492591
  • DaVita Tyson's Corner Dialysis Dialysis facility, Vienna, VA, CCN 492580
  • Fairfax Dialysis Center Dialysis facility, Fairfax, VA, CCN 492504
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2020 Accepting new patients
Virginia Nephrology Group, LLP Nephrology CurrentSince Jul 1, 2004 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Aria Health Physician Services Past Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

16000 Johnston Memorial Dr
#312C
Abingdon, VA 24211
Phone (276) 258-1985

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1635 N George Mason Dr
Ste 215
Arlington, VA 22205
Phone (703) 841-0707

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

13135 Route 50
Ste 145
Fairfax, VA 22033
Phone (703) 378-1360

3930 Walnut St
Ste 101
Fairfax, VA 22030
Phone (703) 246-9246

8520 Cinder Bed Rd
Ste 100
Lorton, VA 22079
Phone (703) 339-6050

14000 Crown Ct
Ste 110
Woodbridge, VA 22193
Phone (703) 361-7341

Interoperability endpoints

  • Direct secure messaging: virginianephrology.pmodlinger@147473.advancedmd-direct.com

Organizations & group practices 7

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 9

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1053405688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODLINGER",
        "first_name": "PAUL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101236049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010083770",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085811",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010184983",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085918",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085683",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085837",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085691",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085829",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085934",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010124743",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9202002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "47430007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010083753",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085845",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2128905",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085721",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085870",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.