Organization Active NPI

Glenn H Fuchs MD PC

  • Dermatology Physician
  • Falls Church, VA
National Provider Identifier
1306992961
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101033724 Issued in VA
Legal business name
GLENN H FUCHS MD PC
Practice address
6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000
Phone
(703) 578-1770
Fax
(703) 820-7088
NPI assigned
Jan 26, 2007
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Glenn H Fuchs, MDNPI 1720038342
Title
President
Phone
(703) 578-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101033724 VA Primary
Dermatology Physician 207N00000X MD12067 DC

Addresses

Primary practice location

6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000

Mailing address

6565 Arlington Blvd Ste 102
Falls Church, VA 22042-3000
Phone (703) 578-1770

Other identifiers 4

IdentifierTypeStateIssuer
503527OtherNCPPO
1546OtherDCBCBS
814870OtherAETNA
060386OtherVABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000722 DC Part B Supplier - Clinic/Group Practice 4587732227 Receives reassigned benefits from 3 practitioners
Practice locations: Washington, DC; Falls Church, VA; Arlington, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D0207280Glenn H Fuchs MD PC/Fuchs Dermatology6565 Arlington Blvd Suite 102, Falls Church, VA 22042ComplianceOct 31, 2027

National Provider Directory

National Provider Directory

Locations

611 S Carlin Springs Rd
Ste 502
Arlington, VA 22204
Phone (703) 578-1770

6565 Arlington Blvd
Ste 102
Falls Church, VA 22042
Phone (703) 578-1770

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1306992961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD STE 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423000",
            "telephone_number": "703-578-1770",
            "fax_number": "703-820-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD STE 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423000",
            "telephone_number": "703-578-1770",
            "fax_number": "703-820-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN H FUCHS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-578-1770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101033724",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD12067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "503527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1546",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "814870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "060386",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.