Individual provider Active NPI

Mariles Viloria-Grageda, M.D.

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1255371738
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101265233 Issued in VA
Practice address
1730 Rhode Island Ave NW Ste 502
Washington, DC 20036-3117
Phone
(202) 902-7324
Fax
(848) 213-0063
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD600003129 DC
Psychiatry Physician 2084P0800X 0101265233 VA Primary
Psychiatry Physician 2084P0800X D0057571 MD

Addresses

Primary practice location

1730 Rhode Island Ave NW Ste 502
Washington, DC 20036-3117

Mailing address

6910 Richmond Hwy Ste 110
Alexandria, VA 22306-1850
Phone (703) 660-8100

Other practice location 1

6910 Richmond Hwy Ste 110
Alexandria, VA 22306-1850
Phone (703) 660-8100

Other identifiers 2

IdentifierTypeStateIssuer
808400900MedicaidMD
260046906OtherMDR/R MEDICARE PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mviloriagrageda605767@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040618000117 MD Practitioner - Psychiatry 3274516570 Reassigns benefits to 2 organizations
I20190128003065 DC Practitioner - PsychiatryPractitioner - Neurology 3274516570 Reassigns benefits to 1 organization
I20190214001974 VA Practitioner - PsychiatryPractitioner - Neurology 3274516570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 289-7560

8505 Arlington Blvd
Fairfax, VA 22031-4630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD600003129DCMDPsychiatry Physician
D0057571MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 1, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 30, 2021 Accepting new patients
Inova Health Care Services Psychiatry CurrentSince Jan 1, 2019 Accepting new patients
Sinai Hospital of Baltimore Inc Psychiatry CurrentSince Jul 1, 2001 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2001 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9105 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 574-1330

6910 Richmond Hwy
Ste 110
Alexandria, VA 22306
Phone (703) 660-8100

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 8

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1255371738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 RICHMOND HWY STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061850",
            "telephone_number": "703-660-8100",
            "fax_number": "703-768-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 RHODE ISLAND AVE NW STE 502",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363117",
            "telephone_number": "202-902-7324",
            "fax_number": "848-213-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6910 Richmond Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223061850",
            "country_code": "US",
            "telephone_number": "703-660-8100",
            "fax_number": "703-768-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILORIA-GRAGEDA",
        "first_name": "MARILES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD600003129",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101265233",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0057571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808400900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE PROVIDER #",
            "identifier": "260046906",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mviloriagrageda605767@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6910 Richmond Hwy Ste 110",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223061850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.