Jennifer Doe, MD
Individual provider Active NPI Pediatrics Physician · Oakton, VA
NPI 1104853019 · NPPES record last updated May 6, 2016
Key facts
- NPI
- 1104853019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- BD7851593 (VA)
- Practice address
- 3697 Waples Crest CT
Oakton, VA 22124-2134 - Phone
- (703) 620-0680
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Albany Medical College of Union University, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8095 Innovation Park Dr
Fairfax, VA 22031-4868
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 |
|---|---|---|---|---|
| I20251031000820 | DC | Practitioner - Hospitalist |
0042709750 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
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 | Pediatrics | Current | Accepting new patients |
Locations
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- jdoe25068@soc.inova.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BD7851593 | VA | Yes |
Addresses
Primary practice location
3697 Waples Crest CT
Oakton, VA 22124-2134
Mailing address
3697 Waples Crest CT
Oakton, VA 22124-2134
Phone (703) 620-0680
Other providers in Oakton, VA
- Wilma D Dalaba
- Brittney Damaceno
- Eugene Aloysius Dannemiller
- Charles Daniel Dent
- Doel Dhar
- Deborah Dorcus
- Kristin Dunn
- Enjoyful Counseling, LLC
- Fairfax Psychiatry & Behavioral Health Co.
- Family Chiropractic Center of Oakton, PC
All providers in Oakton, VA · Pediatrics 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 May 6, 2016. 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.