Individual provider Active NPI

Lily Chu Sicard, M.D.

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1063487585
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101247546 Issued in VA
Practice address
2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4420
Phone
(703) 698-4444
Fax
(703) 573-0880
NPI assigned
Feb 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01052274A IN
Diagnostic Radiology Physician 2085R0202X 0101247546 VA Primary

Addresses

Primary practice location

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4420

Mailing address

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4420
Phone (703) 698-4444

Other names 1

  • Lily Chu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100826000993 VA Practitioner - Diagnostic Radiology 6002930161 Reassigns benefits to 2 organizations
I20101111000337 DC Practitioner - Diagnostic Radiology 6002930161 Reassigns benefits to 4 organizations
I20200623002337 MD Practitioner - Diagnostic Radiology 6002930161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians
Inova Reston MRI Center LLCGroup PAC ID 2961540042, 101 clinicians

Practice addresses (Care Compare)

100 Elden St
Suite 16
Herndon, VA 20170-4841
Phone (703) 698-4488

11335 Pembrooke SQ
Waldorf, MD 20603-4845
Phone (703) 698-4488

115 Park St SE
Suite 203
Vienna, VA 22180-4653
Phone (703) 698-4488

1600 N Beauregard St
Suite 200
Alexandria, VA 22311-1732
Phone (703) 698-4444

19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

3833 Fairfax Dr
Suite 110
Arlington, VA 22203-1773
Phone (703) 698-4488

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

6211 Centreville Rd
Suite 400
Centreville, VA 20121-2641
Phone (703) 698-4488

6355 Walker LN
Alexandria, VA 22310-3245
Phone (703) 698-4444

7799 Leesburg Pike
Suite 104S
Falls Church, VA 22043-2413
Phone (703) 893-2820

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (703) 204-8333

8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4232
Phone (703) 698-4488

9321 Sanger St
Lorton, VA 22079-2720
Phone (703) 698-4444

Hospital & facility affiliations

  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
28.96 of 100Reported as group
Quality
16.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052274AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Reston MRI Center LLC CurrentSince Mar 16, 2011 Accepting new patients
Inova Health Care Services Diagnostic Radiology CurrentSince May 18, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jul 15, 2010 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Jul 5, 2010 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology Current Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Ifrc, LLC CurrentSince Sep 1, 2020 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Mar 16, 2011 Accepting new patients

Locations (25 of 28)

2020 Meridian St
Anderson, IN 46016
Phone (317) 863-2593

13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

13914 Southeastern Pkwy
Ste 101
Fishers, IN 46037
Phone (317) 338-9595

8550 Naab Rd
Ste 300
Indianapolis, IN 46260
Phone (317) 338-9590

305 S Berkley Rd
Kokomo, IN 46901
Phone (317) 457-4800

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

5500 S US Highway 41
Terre Haute, IN 47802
Phone (812) 238-4599

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

230 W Dares Beach Rd
Ste 100
Prnc Frederck, MD 20678
Phone (301) 855-9754

11335 Pembrooke Sq
#101
Waldorf, MD 20603
Phone (301) 856-6718

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

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464

8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

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

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

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

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

Interoperability endpoints

  • Direct secure messaging: lsicard27914@soc.inova.org

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 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": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1063487585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314420",
            "telephone_number": "703-698-4444",
            "fax_number": "703-573-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314420",
            "telephone_number": "703-698-4444",
            "fax_number": "703-573-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICARD",
        "first_name": "LILY",
        "middle_name": "CHU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-19",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01052274A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101247546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "CHU",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.