Individual provider Active NPI

Vivian L Lugo-Eschenwald, MD

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1073601035
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101049923 Issued in VA
Practice address
2000 N Beauregard St
Suite 330
Alexandria, VA 22311-1748
Phone
(703) 370-2400
Fax
(703) 370-7214
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101049923 VA Primary

Addresses

Primary practice location

2000 N Beauregard St
Suite 330
Alexandria, VA 22311-1748

Mailing address

PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717

Other identifiers 1

IdentifierTypeStateIssuer
1073601035MedicaidVA

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
I20090901000692 DC Practitioner - Family Practice 4981759677 Reassigns benefits to 1 organization
I20160607002046 VA Practitioner - Family Practice 4981759677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

19450 Deerfield Ave
Suite 375
Leesburg, VA 20176-6822
Phone (571) 789-1846

6355 Walker LN
308 Metropolitan ENT
Alexandria, VA 22310-3247
Phone (703) 313-7700

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2009 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2009 Accepting new patients
Loudoun Medical Group, PC Family Medicine CurrentSince Mar 19, 2016 Accepting new patients
Family Medicine & Associates of Alexandria PC Past Accepting new patients

Locations

1800 N Beauregard St
Ste 250
Alexandria, VA 22311
Phone (703) 370-2400

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

5249 Duke St
Ste 100
Alexandria, VA 22304
Phone (703) 370-2814

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

19450 Deerfield Ave
Ste 375
Leesburg, VA 20176
Phone (571) 789-1846

44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652

Interoperability endpoints

  • Direct secure messaging: vivian.lugo@lmg1.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1073601035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17334",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212971334",
            "telephone_number": "703-443-6717",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N BEAUREGARD ST",
            "address_2": "SUITE 330",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111748",
            "telephone_number": "703-370-2400",
            "fax_number": "703-370-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO-ESCHENWALD",
        "first_name": "VIVIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073601035",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.