Active NPI
Nathan Lee Pilgrim, DO, MPH
- Psychiatry Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0102203643
- Practice address
- 8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax, VA 22031-4512 - Phone
- (703) 289-7560
- Fax
- (703) 204-9001
- NPI assigned
- May 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO034435 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 0102203643 | VA | Primary |
Addresses
Primary practice location
8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax, VA 22031-4512
Mailing address
2115 Wisconsin Ave NW #200
Department of Psychiatry
Washington, DC 20007-2113
Phone (202) 670-3083
Other practice location 1
3800 Reservoir Rd NW
Department of Psychiatry
Washington, DC 20007-2113
Phone (202) 670-3083
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npilgrim197352@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- West Virginia School of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
8505 Arlington Blvd
Fairfax, VA 22031-4630
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO034435 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Psychiatry | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients |
Locations
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
8221 Willow Oaks Corporate Dr
Ste 4420
Fairfax, VA 22031
Phone (703) 289-7599
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Psychiatry
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1255566105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 WISCONSIN AVE NW #200",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-670-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR STE 4-420",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "703-289-7560",
"fax_number": "703-204-9001"
}
],
"practiceLocations": [
{
"address_1": "3800 Reservoir Rd NW",
"address_2": "Department of Psychiatry",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200072113",
"country_code": "US",
"telephone_number": "202-670-3083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILGRIM",
"first_name": "NATHAN",
"middle_name": "LEE",
"credential": "DO, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "DO034435",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102203643",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npilgrim197352@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": "3300 Gallows Rd",
"city": "Falls Church",
"state": "VA",
"country_code": "US",
"postal_code": "220423307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Dec 7, 2021; 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.