Individual provider Active NPI

John H Pace, M.D.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1255427266
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101048460 Issued in VA
Practice address
8081 Innovation Park Dr Ste 200
Fairfax, VA 22031-4867
Phone
(571) 472-7000
Fax
(571) 472-7001
NPI assigned
Oct 5, 2006
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101048460 VA Primary

Addresses

Primary practice location

8081 Innovation Park Dr Ste 200
Fairfax, VA 22031-4867

Mailing address

8708 Sudley Rd
Manassas, VA 20110-4405
Phone (703) 530-1226

Other practice location 1

8708 Sudley Rd
Manassas, VA 20110-4405
Phone (703) 530-1226

Other identifiers 2

IdentifierTypeStateIssuer
180527OtherVAANTHEM
010189861MedicaidVA

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
I20050817000948 VA Practitioner - Family Practice 4082644117 Reassigns benefits to 2 organizations
I20100803001048 DC Practitioner - Family Practice 4082644117 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Nov 4, 2014 Accepting new patients
Inova Health Care Services CurrentSince Jan 17, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jan 30, 2010 Accepting new patients
Inova Health Care Services CurrentSince Jan 30, 2010 Accepting new patients
W James Werner MD Family Medicine PLC PastSince May 18, 2002 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Emergicare Inc. Family Medicine PastSince Sep 8, 2008 Accepting new patients

Locations

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

8081 Innovation Park Dr
Ste 200
Fairfax, VA 22031
Phone (571) 472-7000

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

8110 Gatehouse Rd
Ste 300W
Falls Church, VA 22042
Phone (703) 205-2214

19500 Sandridge Way
Ste 200
Leesburg, VA 20176
Phone (703) 840-7300

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: jpace4619@soc.inova.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1255427266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104405",
            "telephone_number": "703-530-1226",
            "fax_number": "703-530-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-7000",
            "fax_number": "571-472-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8708 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104405",
            "country_code": "US",
            "telephone_number": "703-530-1226",
            "fax_number": "703-530-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101048460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "180527",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010189861",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.