NPIMap

Individual provider Active NPI

Phuong Xuan Mai, MD

  • Physical Medicine & Rehabilitation Physician
  • Springfield, VA
National Provider Identifier
1265439343
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101233304 Issued in VA
Practice address
6620 Keene Dr
Springfield, VA 22152-2508
Phone
(703) 598-5910
Fax
(703) 639-0738
NPI assigned
Jul 5, 2005
Last updated
Nov 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101233304 VA Primary

Addresses

Primary practice location

6620 Keene Dr
Springfield, VA 22152-2508

Mailing address

6620 Keene Dr
Springfield, VA 22152-2508
Phone (703) 598-5910

Other identifiers 1

IdentifierTypeStateIssuer
010135796MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040915000719 VA Practitioner - Internal MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Geriatric Medicine 4880661149 Reassigns benefits to 1 organization
I20050419000546 DC Practitioner - Physical Medicine and Rehabilitation 4880661149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Park Hill Dr
Fredericksburg, VA 22401-3387
Phone (540) 368-7300

6620 Keene Dr
Springfield, VA 22152-2508
Phone (703) 598-5910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.73 of 100Reported as individual
Quality
76.2
Improvement activities
0
Cost
74.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pain & Rehabilitation Center, PLLC Physical Medicine & Rehabilitation CurrentSince Feb 9, 2005 Accepting new patients
Emg Group LTD LLC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

300 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 361-7641

6541 Franconia Rd
Springfield, VA 22150
Phone (703) 425-9765

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1265439343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 KEENE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522508",
            "telephone_number": "703-598-5910",
            "fax_number": "703-639-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 KEENE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522508",
            "telephone_number": "703-598-5910",
            "fax_number": "703-639-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "PHUONG",
        "middle_name": "XUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101233304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010135796",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.