NPIMap

Organization Active NPI

Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Fairfax, VA
National Provider Identifier
1154769040
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
Practice address
3930 Pender Dr
Suite 210
Fairfax, VA 22030
Phone
(703) 648-3100
Fax
(703) 648-3830
NPI assigned
Jun 12, 2013
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Richard Robinson
Title
Coo
Phone
(301) 637-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

3930 Pender Dr
Suite 210
Fairfax, VA 22030

Mailing address

6707 Democracy Blvd Ste 504
Bethesda, MD 20817-1166
Phone (703) 648-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131024001780 DC Part B Supplier - Clinic/Group Practice 8123260981 Receives reassigned benefits from 447 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20140108001093 VA Part B Supplier - Clinic/Group Practice 8123260981 Receives reassigned benefits from 124 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodbridge, VA; Winchester, VA; Stafford, VA; Manassas, VA; Fairfax, VA; Front Royal, VA; Haymarket, VA; Gainesville, VA…

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1154769040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 DEMOCRACY BLVD STE 504",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171166",
            "telephone_number": "703-648-3100",
            "fax_number": "703-648-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-648-3100",
            "fax_number": "703-648-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR ADVANCED ORTHOPAEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "301-637-8712"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.