Individual provider Active NPI

Michael B Price, M.D.

  • Internal Medicine Physician
  • Springfield, VA
National Provider Identifier
1285634436
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101036169 Issued in VA
Practice address
5510 Alma LN
Springfield, VA 22151-4012
Phone
(703) 642-5990
Fax
(703) 916-0672
NPI assigned
Jul 29, 2005
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101036169 VA Primary
Internal Medicine Physician 207R00000X D29204 MD

Addresses

Primary practice location

5510 Alma LN
Springfield, VA 22151-4012

Mailing address

5510 Alma LN
Springfield, VA 22151-4012
Phone (703) 642-5990

Other identifiers 18

IdentifierTypeStateIssuer
0403504OtherVAUNITED HEALTH MID-ATLANTI
224015OtherVAANTHEM/HEALTHKEEPERS
541908735OtherVACCN
461899OtherVAAETNA US/HEALTHCARE
505118OtherVANCPPO
4088373OtherVAAHP MGD CHOICE
45560007OtherVABCBS DC CAPCARE
541908735OtherVACHAMPUS/TRICARE/STD
541908735OtherVAPREFERRED PLAN
0400437OtherVAUNITED HEALTH VIRGINIA
110183356OtherVARAILROAD MEDICARE
360389OtherVAONE HEALTH GREATWEST
257639OtherVAMDIPA/OPTIMUM CHOICE/MAMS
541908735OtherVAPHCS
224015OtherVATRIGON KEYAD
5325453-025OtherVACIGNA HMO
5819415MedicaidVA
723579OtherVAAFFORDABLE FIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101036169VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contee Emergency Physicians Past Accepting new patients

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, 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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1285634436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514012",
            "telephone_number": "703-642-5990",
            "fax_number": "703-916-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514012",
            "telephone_number": "703-642-5990",
            "fax_number": "703-916-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101036169",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D29204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH MID-ATLANTI",
            "identifier": "0403504",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/HEALTHKEEPERS",
            "identifier": "224015",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "541908735",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US/HEALTHCARE",
            "identifier": "461899",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "505118",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHP MGD CHOICE",
            "identifier": "4088373",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC CAPCARE",
            "identifier": "45560007",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE/STD",
            "identifier": "541908735",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED PLAN",
            "identifier": "541908735",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH VIRGINIA",
            "identifier": "0400437",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110183356",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH GREATWEST",
            "identifier": "360389",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPTIMUM CHOICE/MAMS",
            "identifier": "257639",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "541908735",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON KEYAD",
            "identifier": "224015",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "5325453-025",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5819415",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFORDABLE FIRST HEALTH",
            "identifier": "723579",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.