Individual provider Active NPI

Steven Zimmet, MD

  • Pulmonary Disease Physician
  • Arlington, VA
National Provider Identifier
1184617490
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101019393 Issued in VA
Practice address
1400 S Joyce St
Suite 126
Arlington, VA 22202-1872
Phone
(703) 521-6662
Fax
(703) 521-5991
NPI assigned
Aug 23, 2005
Last updated
Sep 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101019393 VA Primary

Addresses

Primary practice location

1400 S Joyce St
Suite 126
Arlington, VA 22202-1872

Mailing address

1400 S Joyce St
Suite 126
Arlington, VA 22202-1872
Phone (703) 521-6662

Other identifiers 1

IdentifierTypeStateIssuer
6057918MedicaidVA

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
I20051110000851 DC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6103844873 Reassigns benefits to 1 organization
I20140728000572 VA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6103844873 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101019393VAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pulmonary Disease CurrentSince Nov 26, 2013 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 26, 2013 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

500 W Annandale Rd
Falls Church, VA 22046
Phone (703) 521-6662

8644 Sudley Rd
#220
Manassas, VA 20110

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Virginia Hospital Center Arlington Health SystemArlington, VA, CCN 49S050 Hospital Corporate Director Sep 1, 1999
Virginia Hospital Center Arlington Health SystemArlington, VA, CCN 49T050 Hospital Corporate Director Sep 1, 1999

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1184617490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S JOYCE ST",
            "address_2": "SUITE 126",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222021872",
            "telephone_number": "703-521-6662",
            "fax_number": "703-521-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S JOYCE ST",
            "address_2": "SUITE 126",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222021872",
            "telephone_number": "703-521-6662",
            "fax_number": "703-521-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMET",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101019393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6057918",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.