Active NPI
Marieliz Veronica Alonso Calderon, M.D.
- Geriatric Psychiatry Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 0101270761
- Practice address
- 8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512 - Phone
- (703) 289-7599
- NPI assigned
- Jul 21, 2008
- Last updated
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 268925 | NY | |
| Geriatric Psychiatry Physician | 2084P0805X | 0101270761 | VA | Primary |
Addresses
Primary practice location
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
234 E 149th St
Bronx, NY 10451-5504
Phone (718) 579-5779
Other practice location 2
8500 Executive Park Ave Ste 202
Fairfax, VA 22031-2253
Phone (703) 852-7020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malonsocalderon758612@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Psychiatry
- Education
- New York Medical College, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 289-7560
8505 Arlington Blvd
Fairfax, VA 22031-4630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (703) 289-7599
8500 Executive Park Ave
Ste 202
Fairfax, VA 22031
Phone (703) 852-7020
8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Interoperability endpoints
- malonsocalderon758612@soc.inova.org
- malonsocalderon838279@nychhc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Bronx, NY
- NPI 1689618407
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1295990018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "703-289-7599"
}
],
"practiceLocations": [
{
"address_1": "234 E 149th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104515504",
"country_code": "US",
"telephone_number": "718-579-5779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8500 Executive Park Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220312253",
"country_code": "US",
"telephone_number": "703-852-7020",
"fax_number": "703-289-4612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALONSO CALDERON",
"first_name": "MARIELIZ",
"middle_name": "VERONICA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "268925",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "VA",
"license": "0101270761",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "malonsocalderon758612@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "8221 Willow Oaks Corporate Dr",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314512",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.