Carey M. Marder, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101033040 Issued in VA

Practice address

130 Park St SE
Ste 100
Vienna, VA 22180-4626

Phone

(703) 281-1265

Fax

(703) 255-0571

NPI assigned

Jun 1, 2005

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  DC

  Medicare reassignment NPD
• Northern Virginia Community Hospital LLC

  dba StoneSprings Hospital Center

  • Cardiovascular Disease Physician
  • Dulles, VA
  • NPI 1669923967
  Medicare reassignment NPD
• Reston Hospital Center, LLC

  dba Reston Hospital Center

  • Radiologic Technologist
  • Reston, VA
  • NPI 1548617863
  Medicare reassignment NPD
• Inova Health Care Services

  dba Inova Juniper Program

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1669511051
  NPD
• Inova Health Care Services

  dba Inova Blood Donor Services

  • Medical Technologist
  • Sterling, VA
  • NPI 1699655589
  NPD
• Northern Virginia Community Hospital, LLC

  dba StoneSprings Hospital Center

  • Psychiatric Hospital Unit
  • Dulles, VA
  • NPI 1881367217
  NPD
• Reston Hospital Center, LLC

  dba Reston Hospital Center

  • Rehabilitation Hospital Unit
  • Reston, VA
  • NPI 1538650999
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1205838471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PARK ST SE",
            "address_2": "STE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804626",
            "telephone_number": "703-281-1265",
            "fax_number": "703-255-0571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44035 Riverside Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201768260",
            "country_code": "US",
            "telephone_number": "703-858-5421",
            "fax_number": "703-858-9573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Joseph Siewick Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331764",
            "country_code": "US",
            "telephone_number": "703-648-3266",
            "fax_number": "703-648-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARDER",
        "first_name": "CAREY",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101033040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340102200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE VA #",
            "identifier": "060062642",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE DC #",
            "identifier": "060034952",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031741700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205838471",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmarder25698@soc.inova.org",
            "affiliation": "N",
            "address_1": "130 Park St SE",
            "address_2": "Ste 100",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221804626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lamin Shekie Mansaray
• Manus Center, PC
• Marbrid, LLC
• Marc H. Feldman, D.C., P.C.
• Juliette Marchegiano
• Tamara Jill Marder, PH.D.
• Lorine Margeson, PSYD
• Marjan Salari DDS PLLC (Nova Smile Dental)
• Marjan Yousefi, M.D., P.C.
• Jennifer Roan Markiewicz

• Cardiovascular Disease Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.

Verify at the official NPI Registry.