Michelle Wilson Jeffery, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Falls Church, VA
NPI 1093844052 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1093844052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 0101259072 (VA)
- Practice address
- 3300 Gallows Rd
Department of Medicine
Falls Church, VA 22042-3307 - Phone
- (703) 776-3582
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Ohio State University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (877) 511-4625
3300 Gallows Rd
Falls Church, VA 22042-3307
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
4320 Seminary Rd
Alexandria, VA 22304-1535
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Hospital & facility affiliations
- Inova Fairfax Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104001809 | DC | Practitioner - Endocrinology |
6507931581 | Reassigns benefits to 1 organization |
| I20160122001999 | VA | Practitioner - Endocrinology |
6507931581 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-01093 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current |
Accepting new patients | |
| Inova Health Care Services | Current |
Accepting new patients | |
| Inova Health Care Services | Internal Medicine | Current |
Accepting new patients |
Locations
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008-01093 | NC | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101259072 | VA | Yes |
Addresses
Primary practice location
3300 Gallows Rd
Department of Medicine
Falls Church, VA 22042-3307
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0109E | Medicaid | SC | |
| 5909883 | Medicaid | NC |
Other providers in Falls Church, VA
- Chester Clinton Jean
- Jeff J. S. Pan, MD, PC
- Edward Kenneth Jeffer
- Raven Jefferson
- Amy R Jeffery
- Jeffrey L Brown, DDS, PLC
- Maria Jeffries
- Darcy Jenkins
- Connie Lynn Jenks
- Jennifer Lanouette LCSW
All providers in Falls Church, VA · Endocrinology, Diabetes & Metabolism Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.