Individual provider Active NPI

Edward S. Parelhoff, M.D.

  • Ophthalmology Physician
  • Springfield, VA
National Provider Identifier
1255307955
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101037107 Issued in VA
Practice address
8136 Old Keene Mill Rd Ste B300
Springfield, VA 22152-1856
Phone
(703) 451-6111
Fax
(703) 451-6247
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 0101037107 VA
Ophthalmology Physician 207W00000X 0101037107 VA Primary

Addresses

Primary practice location

8136 Old Keene Mill Rd Ste B300
Springfield, VA 22152-1856

Mailing address

8136 Old Keene Mill Rd Ste B300
Springfield, VA 22152-1856
Phone (703) 451-6111

Other practice location 1

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Other identifiers 1

IdentifierTypeStateIssuer
006305938MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20040729000705 VA Practitioner - Ophthalmology 0941270615 Reassigns benefits to 1 organization
I20080916000509 DC Practitioner - Ophthalmology 0941270615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101037107VAMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Aug 17, 2011 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2013 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2013 Accepting new patients

Locations

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2296 Opitz Blvd
Ste 120
Woodbridge, VA 22191
Phone (703) 670-4200

Organizations & group practices 3

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1255307955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD STE B300",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521856",
            "telephone_number": "703-451-6111",
            "fax_number": "703-451-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD STE B300",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521856",
            "telephone_number": "703-451-6111",
            "fax_number": "703-451-6247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Seminary Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041535",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARELHOFF",
        "first_name": "EDWARD",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "VA",
            "license": "0101037107",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101037107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006305938",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.