Individual provider Active NPI

Michael David Homeyer, M.D.

  • Emergency Medicine Physician
  • Alexandria, VA
National Provider Identifier
1063602779
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101247199 Issued in VA
Practice address
2501 Parkers LN
Department of Emergency Medicine
Alexandria, VA 22306-3209
Phone
(703) 664-7112
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A104862 CA
Emergency Medicine Physician 207P00000X 0101247199 VA Primary

Addresses

Primary practice location

2501 Parkers LN
Department of Emergency Medicine
Alexandria, VA 22306-3209

Mailing address

2501 Parkers LN
Department of Emergency Medicine
Alexandria, VA 22306-3209
Phone (703) 664-7112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20100917000296 DC Practitioner - Emergency Medicine 4880719517 Reassigns benefits to 2 organizations
I20140124000763 VA Practitioner - Emergency Medicine 4880719517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Emergency Physicians PCGroup PAC ID 7618870312, 44 clinicians

Practice addresses (Care Compare)

9321 Sanger St
Suite 100
Lorton, VA 22079-2720
Phone (703) 922-7631

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
90.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104862CAMDEmergency Medicine Physician
0101247199VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Commonwealth Emergency Physicians PC Emergency Medicine CurrentSince Oct 2, 2013 Accepting new patients
Virginia Em-1 Medical Services, PC Emergency Medicine Past Accepting new patients
Commonwealth Emergency Physicians PC PastSince Apr 17, 2020 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

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

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

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

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

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

9321 Sanger St
Ste 100
Lorton, VA 22079
Phone (703) 922-7631

9321 Sanger St
Lorton, VA 22079
Phone (703) 982-8324

Organizations & group practices 5

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 1

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1063602779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "703-664-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "703-664-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMEYER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A104862",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101247199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.