Active NPI
Kelly Charrise Epps-Anderson, MD
- Cardiovascular Disease Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101255984
- Practice address
- 8505 Arlington Blvd Ste 200
Fairfax, VA 22031 - Phone
- (703) 698-8525
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 0101255984 | VA | Primary |
Addresses
Primary practice location
8505 Arlington Blvd Ste 200
Fairfax, VA 22031
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (703) 331-0300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06380 | Other | VA | PALMETTO GBA MEDICARE OF VIRGINIA |
| G00773 | Other | DC | NOVITAS MEDICARE |
| C08583 | Other | VA | PALMETTO GBA OF VIRGINIA MANASSAS HEART |
| C09878 | Other | VA | PALMETTO GBA OF VIRGINIA WARRENTON HEART |
| 16042 | Other | DC | NOVITAS MEDICARE MANASSAS HEART |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kepps133908@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Harvard Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14349 Gideon Dr
Woodbridge, VA 22192-4641
1600 N Beauregard St
150 Inova Health Care Services Img
Alexandria, VA 22311-1732
Phone (571) 472-0080
21785 Filigree CT
Ashburn, VA 20147-6214
3300 Gallows Rd
Falls Church, VA 22042-3307
4320 Seminary Rd
Alexandria, VA 22304-1535
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Alexandria Hospital
- Inova Mount Vernon Hospital
- Inova Loudoun 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 | Current | Accepting new patients |
Locations
3299 Woodburn Rd
Ste 380
Annandale, VA 22003
Phone (703) 560-9005
7617 Little River Tpke
Ste 710
Annandale, VA 22003
Phone (703) 642-0094
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
8505 Arlington Blvd
Ste 350
Fairfax, VA 22031
Phone (703) 204-0355
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
8100 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (571) 581-1771
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
559 Frost Ave
Ste 102
Warrenton, VA 20186
Phone (540) 341-7530
Interoperability endpoints
- kepps133908@soc.inova.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1164569687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "703-331-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 ARLINGTON BLVD STE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-698-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPS-ANDERSON",
"first_name": "KELLY",
"middle_name": "CHARRISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2023-11-27",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101255984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA MEDICARE OF VIRGINIA",
"identifier": "C06380",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVITAS MEDICARE",
"identifier": "G00773",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA OF VIRGINIA MANASSAS HEART",
"identifier": "C08583",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA OF VIRGINIA WARRENTON HEART",
"identifier": "C09878",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVITAS MEDICARE MANASSAS HEART",
"identifier": "16042",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kepps133908@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3300 Gallows Rd",
"city": "Falls Church",
"state": "VA",
"country_code": "US",
"postal_code": "220423300",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.