Active NPI
Robert Douglas Janke, M.D.
- Psychiatry Physician
- Fairfax, VA
National Provider Identifier
1215179254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101255421
- Practice address
- 8221 Willow Oaks Corporate Dr # 4-420
Fairfax, VA 22031-4512 - Phone
- (703) 289-7560
- Fax
- (703) 204-9001
- NPI assigned
- Apr 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301085030 | MI | |
| Psychiatry Physician | 2084P0800X | 4301085030 | MI | |
| Psychiatry Physician | 2084P0800X | 0101255421 | VA | Primary |
Addresses
Primary practice location
8221 Willow Oaks Corporate Dr # 4-420
Fairfax, VA 22031-4512
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (855) 633-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301085030 | MI | MD | Psychiatry Physician |
Interoperability endpoints
- rjanke252188@soc.inova.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1215179254",
"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": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR # 4-420",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "703-289-7560",
"fax_number": "703-204-9001"
}
],
"practiceLocations": [
{
"address_1": "18101 Prince Philip Dr",
"address_purpose": "LOCATION",
"city": "Olney",
"state": "MD",
"postal_code": "208321514",
"country_code": "US",
"telephone_number": "855-633-0207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANKE",
"first_name": "ROBERT",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-06",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301085030",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301085030",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101255421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.