NPIMap

Individual provider Active NPI

Jennifer Choi-Blanco, M.D.

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1063649440
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101253850 Issued in VA
Practice address
180 Maple Ave W
Vienna, VA 22180-5727
Phone
(703) 938-5300
NPI assigned
Jun 12, 2009
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 0101253850 VA Primary

Addresses

Primary practice location

180 Maple Ave W
Vienna, VA 22180-5727

Mailing address

180 Maple Ave W
Vienna, VA 22180-5727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchoi104556@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

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
I20131219001239 DC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9234366246 Reassigns benefits to 3 organizations
I20131223000839 VA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9234366246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

130 Park St SE
Suite 200
Vienna, VA 22180-4626
Phone (703) 938-7800

6230 Rolling Rd
Suite Ij
Springfield, VA 22152-2307
Phone (571) 565-6460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101253850VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince May 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Nov 18, 2013 Accepting new patients
Inova Health Care Services CurrentSince Nov 18, 2013 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince May 11, 2020 Accepting new patients
Inova Health Care Services - Pathology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

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

130 Park St SE
Ste 200
Vienna, VA 22180
Phone (703) 938-7800

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: jchoi104556@soc.inova.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063649440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805727",
            "telephone_number": "703-938-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI-BLANCO",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101253850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchoi104556@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "130 Park St SE Ste 200",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221804626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.