Active NPI
Edward Carl Huycke, MD
- Cardiovascular Disease Physician
- Washington, DC
National Provider Identifier
1215904826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 04-18243
- Practice address
- Department of Veterans Affairs
810 Vermont Ave, NW
Washington, DC 20420-0001 - Phone
- (202) 273-5806
- NPI assigned
- Mar 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 04-18243 | KS | Primary |
Addresses
Primary practice location
Department of Veterans Affairs
810 Vermont Ave, NW
Washington, DC 20420-0001
Mailing address
3017 N Nottingham St
Arlington, VA 22207-1269
Phone (202) 273-5806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Kansas City College of Medicine and Surgery, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-18243 | KS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince William County Community Services Board | Current | Accepting new patients | |
| Prince William County | Current | Accepting new patients |
Locations
7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826
14011 Worth Ave
Ste 110
Woodbridge, VA 22192
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manassas, VA
- NPI 1053402800
-
- Ambulance
- Prince William, VA
- NPI 1235437385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1215904826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 N NOTTINGHAM ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071269",
"telephone_number": "202-273-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF VETERANS AFFAIRS",
"address_2": "810 VERMONT AVE, NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "204200001",
"telephone_number": "202-273-5806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYCKE",
"first_name": "EDWARD",
"middle_name": "CARL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "04-18243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.