Individual provider Active NPI

Richard C Seestedt, M.D.

  • Neurology Physician
  • Fairfax, VA
National Provider Identifier
1104895630
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101840424 Issued in VA
Practice address
3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2238
Phone
(703) 876-0800
Fax
(703) 876-0866
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 0101840424 VA
Neurology Physician 2084N0400X 0101840424 VA Primary

Addresses

Primary practice location

3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2238

Mailing address

3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2238
Phone (703) 876-0800

Other identifiers 1

IdentifierTypeStateIssuer
7113609MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@ncf.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000896 DC Practitioner - Neurology 8426069139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Jefferson Medical College of Thomas Jefferson University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Center of Fairfax, LTDGroup PAC ID 3577558659, 14 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2220
Phone 70387608001208

7508 Iron Bar LN
Suite 7508
Gainesville, VA 20155-2999
Phone (703) 490-6726

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101840424VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Center of Fairfax, LTD Neurology CurrentSince Aug 27, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3020 Hamaker Ct
Ste 402
Fairfax, VA 22031
Phone (703) 573-2400

3020 Hamaker Ct
Fairfax, VA 22031
Phone (703) 207-0073

3020 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (703) 864-0800

Interoperability endpoints

  • Direct secure messaging: clinical@ncf.directbygreenway.com

Organizations & group practices 2

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1104895630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT",
            "address_2": "SUITE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312238",
            "telephone_number": "703-876-0800",
            "fax_number": "703-876-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT",
            "address_2": "SUITE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312238",
            "telephone_number": "703-876-0800",
            "fax_number": "703-876-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEESTEDT",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "VA",
            "license": "0101840424",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101840424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7113609",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@ncf.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3020 Hamaker Ct",
            "address_2": "Suite 400",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.