Active NPI
Barnett G Mennen, M.D.
- Family Medicine Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0072173
- Practice address
- 1880 Howard Ave
Suite 300
Vienna, VA 22182-2667 - Phone
- (703) 790-0103
- Fax
- (790) 703-0379
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0072173 | MD | Primary |
| Pediatrics Physician | 208000000X | D0072173 | MD |
Addresses
Primary practice location
1880 Howard Ave
Suite 300
Vienna, VA 22182-2667
Mailing address
1880 Howard Ave
Suite 300
Vienna, VA 22182-2667
Phone (703) 790-0103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0072173 | Other | MD | STATE LICENSE |
| 0101248289 | Other | VA | STATE LICENSE |
Other names 1
- Dr. Barry G Mennen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Healthcare PC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients |
Locations
8305 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 800-7000
8205 Snowden River Pkwy
Columbia, MD 21045
Phone (410) 290-9990
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Family Medicine
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1184848004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 HOWARD AVE",
"address_2": "SUITE 300",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822667",
"telephone_number": "703-790-0103",
"fax_number": "703-790-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 HOWARD AVE",
"address_2": "SUITE 300",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822667",
"telephone_number": "703-790-0103",
"fax_number": "790-703-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNEN",
"first_name": "BARNETT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0072173",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0072173",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D0072173",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0101248289",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARRY",
"last_name": "MENNEN",
"middle_name": "G",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.