NPIMap

Organization Active NPI

Gericare

  • Primary Care Clinic/Center
  • Fairfax, VA
National Provider Identifier
1215728340
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GERICARE
Practice address
9504 Babson CT
Fairfax, VA 22032-2001
Phone
(815) 501-6104
NPI assigned
May 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Olga Sokolv
Title
Owner
Phone
(815) 501-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9504 Babson CT
Fairfax, VA 22032-2001

Mailing address

9504 Babson CT
Fairfax, VA 22032-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250616002601 DC Part B Supplier - Clinic/Group Practice 1052822137 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA
O20260105003221 VA Part B Supplier - Clinic/Group Practice 1052822137 Receives reassigned benefits from 1 practitioner
Practice locations: Hampton, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1215728340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9504 BABSON CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9504 BABSON CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322001",
            "telephone_number": "815-501-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "SOKOLV",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-501-6104"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.