Individual provider Active NPI

Kelly Charrise Epps-Anderson, MD

  • Cardiovascular Disease Physician
  • Fairfax, VA
National Provider Identifier
1164569687
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101255984 Issued in VA
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C06380OtherVAPALMETTO GBA MEDICARE OF VIRGINIA
G00773OtherDCNOVITAS MEDICARE
C08583OtherVAPALMETTO GBA OF VIRGINIA MANASSAS HEART
C09878OtherVAPALMETTO GBA OF VIRGINIA WARRENTON HEART
16042OtherDCNOVITAS MEDICARE MANASSAS HEART

Electronic endpoints 1

TypeEndpointUseAffiliation
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, 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
I20140718001083 DC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7214153733 Reassigns benefits to 1 organization
I20140805000406 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7214153733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

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 Hospital, Falls Church, VA, CCN 490063
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 2, 2015 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Nov 2, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.