Individual provider Active NPI

Hernan I Vargas, M.D.

  • Surgery Physician
  • Fairfax, VA
National Provider Identifier
1285743146
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101247298 Issued in VA
Practice address
3650 Joseph Siewick Dr Ste 200
Fairfax, VA 22033-1712
Phone
(703) 280-5390
Fax
(703) 620-0952
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101247298 VA Primary

Addresses

Primary practice location

3650 Joseph Siewick Dr Ste 200
Fairfax, VA 22033-1712

Mailing address

3650 Joseph Siewick Dr Ste 200
Fairfax, VA 22033-1712
Phone (703) 280-5390

Other practice location 1

3620 Joseph Siewick Dr
Suite 406
Fairfax, VA 22033-1756
Phone (703) 359-8640

Other practice location 2

3620 Joseph Siewick Dr
Suite 406
Fairfax, VA 22033-1756
Phone (703) 359-8640

Other identifiers 3

IdentifierTypeStateIssuer
1285743146MedicaidVA
00A488230MedicaidCA
155102ZAHOtherMEDICARE

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
I20090707000505 DC Practitioner - General Surgery 1951299197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3700 Joseph Siewick Dr
Suite 408
Fairfax, VA 22033-1745
Phone (571) 350-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy49
Melanoma (skin cancer) excision29
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48823CAMDPharmacist
0101247298VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. Surgery CurrentSince Mar 12, 2018 Accepting new patients
Inova Health Care Services CurrentSince Oct 14, 2013 Accepting new patients
Virginia Cancer Specialists, P.C. CurrentSince Mar 12, 2018 Accepting new patients

Locations

4660 Kenmore Ave
Ste 1018
Alexandria, VA 22304
Phone (571) 483-1800

277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792

3301 Woodburn Rd
Ste 306
Annandale, VA 22003
Phone (703) 349-7434

3301 Woodburn Rd
Ste 304
Annandale, VA 22003
Phone (703) 204-0355

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

13135 Route 50
Ste 305
Fairfax, VA 22033
Phone (703) 359-3706

8613 Route 29
Ste 101
Fairfax, VA 22031
Phone (703) 783-4510

8613 Route 29
Ste 200N
Fairfax, VA 22031
Phone (703) 208-3120

3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-4212

8613 Route 29
Ste 100N
Fairfax, VA 22031
Phone (703) 934-4450

3620 Joseph Siewick Dr
Ste 406
Fairfax, VA 22033
Phone (703) 429-2109

3650 Joseph Siewick Dr
Ste 200
Fairfax, VA 22033
Phone (703) 280-5390

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44035 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 208-3155

44035 Riverside Pkwy
Ste 310
Leesburg, VA 20176

9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200

1860 Town Center Dr
Ste 460
Reston, VA 20190
Phone (703) 437-6535

210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331

2280 Opitz Blvd
Ste 130
Woodbridge, VA 22191
Phone (713) 508-4005

Interoperability endpoints

  • Direct secure messaging: hernan.vargas@vcs.ikm.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285743146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331712",
            "telephone_number": "703-280-5390",
            "fax_number": "703-620-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331712",
            "telephone_number": "703-280-5390",
            "fax_number": "703-620-0952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Joseph Siewick Dr",
            "address_2": "Suite 406",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331756",
            "country_code": "US",
            "telephone_number": "703-359-8640",
            "fax_number": "703-591-6105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Joseph Siewick Dr",
            "address_2": "Suite 406",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331756",
            "country_code": "US",
            "telephone_number": "703-359-8640",
            "fax_number": "703-591-6105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "HERNAN",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101247298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285743146",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A488230",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "155102ZAH",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.