Individual provider Active NPI

Kristen Elizabeth Dunbar, MD

  • Ophthalmology Physician
  • Fairfax, VA
National Provider Identifier
1124384268
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101272336 Issued in VA
Practice address
3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980
Phone
(571) 349-2191
Fax
(571) 349-2211
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 282796 NY
Ophthalmology Physician 207W00000X 0101272336 VA Primary

Addresses

Primary practice location

3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980

Mailing address

3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980
Phone (571) 349-2191

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
I20210804001867 DC Practitioner - Ophthalmology 9931498607 Reassigns benefits to 1 organization
I20230111001109 VA Practitioner - Ophthalmology 9931498607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists and Surgeons of Northern Virginia LLCGroup PAC ID 1658672886, 11 clinicians

Practice addresses (Care Compare)

3998 Fair Ridge Dr
Suite 105
Fairfax, VA 22033-2980
Phone (571) 349-2191

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045

Merit-based Incentive Payment System (MIPS)

Final score
92.73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101272336VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists and Surgeons of Northern Virginia, LLC Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients

Locations

3998 Fair Ridge Dr
Fairfax, VA 22033
Phone (571) 349-2191

3998 Fair Ridge Dr
Ste 105
Fairfax, VA 22033
Phone (571) 349-2191

7915 Lake Manassas Dr
Ste 210
Gainesville, VA 20155
Phone (571) 349-2191

8644 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (571) 349-2191

Interoperability endpoints

  • Direct secure messaging: kdunbar@essnv.intellechartdirect.net
  • Direct secure messaging: kdunbar675009@nychhc.direct-ci.com

Organizations & group practices 1

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 1

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1124384268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 105",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332980",
            "telephone_number": "571-349-2191",
            "fax_number": "571-349-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 105",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332980",
            "telephone_number": "571-349-2191",
            "fax_number": "571-349-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "282796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101272336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.