Individual provider Active NPI

Emelina Santos-Ilagan, M.D.

  • Psychiatry Physician
  • Fairfax, VA
National Provider Identifier
1235216896
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101048081 Issued in VA
Practice address
10560 Main St
Suite PS 10
Fairfax, VA 22030-7182
Phone
(703) 609-8414
Fax
(703) 503-3112
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101048081 VA Primary

Addresses

Primary practice location

10560 Main St
Suite PS 10
Fairfax, VA 22030-7182

Mailing address

PO Box 10622
Suite 100
Burke, VA 22009-0622
Phone (571) 262-9241

Other names 1

  • Dr. Emelina S. Ilagan Other name

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

LicenseStateTypeSpecialty
0101048081VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meier Clinics Foundation Psychiatry Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1235216896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10622",
            "address_2": "SUITE 100",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220090622",
            "telephone_number": "571-262-9241",
            "fax_number": "703-503-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "SUITE PS 10",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "703-609-8414",
            "fax_number": "703-503-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-ILAGAN",
        "first_name": "EMELINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101048081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMELINA",
            "last_name": "ILAGAN",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.