Individual provider Active NPI

Aaron M. Kistler, MD

  • Nuclear Medicine Physician
  • Annandale, VA
National Provider Identifier
1275865123
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
0101035830 Issued in VA
Practice address
3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337
Phone
(703) 698-9573
Fax
(703) 698-1592
NPI assigned
Feb 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 0101035830 VA Primary

Addresses

Primary practice location

3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337

Mailing address

3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337
Phone (703) 698-9573

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000183 DC Practitioner - Nuclear Medicine 6901793512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Pennsylvania State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodburn Nuclear Medicine, LTDGroup PAC ID 9537294533, 7 clinicians

Practice addresses (Care Compare)

3289 Woodburn Rd
Suite 60
Annandale, VA 22003-7337
Phone (703) 698-0666

Merit-based Incentive Payment System (MIPS)

Final score
72.5 of 100Reported as group
Quality
45
Improvement activities
40

National Provider Directory

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

Organizations & group practices 1

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1275865123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 60",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037337",
            "telephone_number": "703-698-9573",
            "fax_number": "703-698-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 60",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037337",
            "telephone_number": "703-698-9573",
            "fax_number": "703-698-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "AARON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "VA",
            "license": "0101035830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.