Active NPI
Tiberiu Koos, M.D.
- Radiation Oncology Physician
- Vienna, VA
National Provider Identifier
1295895308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- H3690
- Practice address
- 8215 Westwood Mews CT
Vienna, VA 22182-6016 - Phone
- (703) 847-2552
- Fax
- (763) 647-2552
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | H3690 | TX | Primary |
Addresses
Primary practice location
8215 Westwood Mews CT
Vienna, VA 22182-6016
Mailing address
8215 Westwood Mews CT
Suite 220
Vienna, VA 22182-6016
Phone (703) 847-2552
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
| License | State | Type | Specialty |
|---|---|---|---|
| H3690 | TX | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evms Academic Physicians and Surgeons Health Services Foundation | Radiation Oncology | Past | Accepting new patients |
| Mid-Minnesota Radiation Oncology, PA | Radiation Oncology | Past | Accepting new patients |
| Minneapolis Radiation Oncology PA | Radiation Oncology | Past | Accepting new patients |
| Emerald Coast Radiation Oncology | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295895308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8215 WESTWOOD MEWS CT",
"address_2": "SUITE 220",
"city": "VIENNA",
"state": "VA",
"postal_code": "221826016",
"telephone_number": "703-847-2552",
"fax_number": "763-647-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8215 WESTWOOD MEWS CT",
"city": "VIENNA",
"state": "VA",
"postal_code": "221826016",
"telephone_number": "703-847-2552",
"fax_number": "763-647-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOS",
"first_name": "TIBERIU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "H3690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.