Individual provider Active NPI

Michele Dianne Justice Taylor-Tyree, M.D.

  • Obstetrics & Gynecology Physician
  • Leesburg, VA
National Provider Identifier
1053570861
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101251837 Issued in VA
Practice address
19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840
Phone
(571) 707-8522
Fax
(571) 707-8577
NPI assigned
Jun 6, 2008
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD49294 TN
Obstetrics & Gynecology Physician 207V00000X 0101251837 VA Primary

Addresses

Primary practice location

19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

19415 Deerfield Ave
Suite 202
Lansdowne, VA 20176-8452
Phone (703) 858-3230

Other practice location 2

21785 Filigree Ct Ste 201
Ashburn, VA 20147-6214
Phone (571) 465-2385

Other practice location 3

8644 Sudley Rd Ste 305
Manassas, VA 20110-4425
Phone (703) 638-1969

Other names 1

  • Michele Diane Justice Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mjustice100377@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)
Direct Messaging Address michele.justicetaylortyree.p1@direct.cwcare.nextgenshare.com Direct

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
I20131119000459 VA Practitioner - Obstetrics/Gynecology 0547411464 Reassigns benefits to 2 organizations
I20151125000091 DC Practitioner - Obstetrics/Gynecology 0547411464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

46179 Westlake Dr
Suite 240
Potomac Falls, VA 20165-5874
Phone (703) 430-7770

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD49294TNMDObstetrics & Gynecology Physician
0101251837VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Oct 2, 2015 Accepting new patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Oct 2, 2015 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology CurrentSince Oct 2, 2015 Accepting new patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

21785 Filigree Ct
Ste 201
Ashburn, VA 20147
Phone (571) 465-2385

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

19450 Deerfield Ave
Ste 460
Leesburg, VA 20176
Phone (571) 707-8522

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

8644 Sudley Rd
Ste 305
Manassas, VA 20110
Phone (703) 368-1969

46179 Westlake Dr
Ste 240
Potomac Falls, VA 20165
Phone (703) 368-1969

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: michele.justicetaylortyree.p1@direct.cwcare.nextgenshare.com
  • Direct secure messaging: mjustice100377@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1053570861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 460",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766840",
            "telephone_number": "571-707-8522",
            "fax_number": "571-707-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19415 Deerfield Ave",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Lansdowne",
            "state": "VA",
            "postal_code": "201768452",
            "country_code": "US",
            "telephone_number": "703-858-3230",
            "fax_number": "703-858-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21785 Filigree Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201476214",
            "country_code": "US",
            "telephone_number": "571-465-2385",
            "fax_number": "571-465-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8644 Sudley Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104425",
            "country_code": "US",
            "telephone_number": "703-638-1969",
            "fax_number": "703-369-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE TAYLOR-TYREE",
        "first_name": "MICHELE",
        "middle_name": "DIANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD49294",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101251837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjustice100377@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "21785 Filigree Ct Ste 201",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201476214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "19415 Deerfield Ave",
            "address_2": "Suite 202",
            "city": "Lansdowne",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201768452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michele.justicetaylortyree.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19450 Deerfield Ave Ste 460",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201766840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "JUSTICE",
            "middle_name": "DIANE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.