Active NPI
Anne E Summers, MD
- Cardiovascular Disease Physician
- Fairfax, VA
National Provider Identifier
1265543342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101038414
- Practice address
- 3023 Hamaker Court
#100
Fairfax, VA 22031 - Phone
- (703) 641-9161
- Fax
- (703) 641-0383
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101038414 | VA | Primary |
Addresses
Primary practice location
3023 Hamaker Court
#100
Fairfax, VA 22031
Mailing address
3023 Hamaker Court
#100
Fairfax, VA 22031
Phone (703) 641-9161
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060058389 | Other | RAIL ROAD MEDICARE | |
| 47112 | Other | MDIPA | |
| 541977219 | Other | TRICARE | |
| 432670 | Other | ANTHEM HEALTHKEEPRS PLUS | |
| 47112 | Other | OPTIMUM CHOICE | |
| 432668 | Other | ANTHEM | |
| 0003 | Other | CAREFIRST | |
| 00V371C96 | Other | VA | MEDICARE OF VA |
| 4053933 | Other | AETNA PPO MC | |
| 47112 | Other | MAMSI | |
| 541977219 | Other | NALC AFFORDABLE | |
| P00025882 | Other | RAIL ROAD MEDICARE | |
| 47112 | Other | ALLIANCE GEHA | |
| 541977219 | Other | UNITED HEALTHCARE | |
| 541977219 | Other | CIGNA | |
| 737705 | Other | AETNA HMO | |
| 005842344 | Medicaid | VA | |
| 541977219 | Other | WPS TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1265543342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 HAMAKER COURT",
"address_2": "#100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-641-9161",
"fax_number": "703-641-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 HAMAKER COURT",
"address_2": "#100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-641-9161",
"fax_number": "703-641-0383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "ANNE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101038414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "060058389",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "47112",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541977219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPRS PLUS",
"identifier": "432670",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "47112",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "432668",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "0003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OF VA",
"identifier": "00V371C96",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO MC",
"identifier": "4053933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "47112",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NALC AFFORDABLE",
"identifier": "541977219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00025882",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE GEHA",
"identifier": "47112",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "541977219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "541977219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "737705",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005842344",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "541977219",
"state": null
}
],
"endpoints": [],
"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 Jul 12, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.