Individual provider Active NPI

Niccole Piguet, MD

  • Pediatric Hematology & Oncology Physician
  • Fairfax, VA
National Provider Identifier
1326244559
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
010124753 Issued in VA
Practice address
8505 Arlington Blvd.
Suite 400
Fairfax, VA 22031
Phone
(571) 226-5600
Fax
(571) 423-5064
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X LP01270 RI
Pediatric Hematology & Oncology Physician 2080P0207X 010124753 VA Primary

Addresses

Primary practice location

8505 Arlington Blvd.
Suite 400
Fairfax, VA 22031

Mailing address

8110 Gatehouse Rd.
Suite 500 W
Falls Church, VA 22042
Phone (571) 226-5600

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
I20100907000982 DC Practitioner - Pediatric Medicine 2264556695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Eastern Virginia Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Specialists of Virginia LLCGroup PAC ID 7719110154, 8 clinicians

Practice addresses (Care Compare)

3023 Hamaker CT
Suite 500
Fairfax, VA 22031-2241
Phone (571) 776-3100

8081 Innovation Park Dr
Suite 765
Fairfax, VA 22031-4867
Phone (703) 531-3624

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP01270RIMDPediatric Hematology & Oncology Physician
010124753VAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialists of Virginia, LLC CurrentSince Feb 17, 2014 Accepting new patients
Inova Health Care Services Past Accepting new patients

Locations

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: npiguet5608@soc.inova.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1326244559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 GATEHOUSE RD.",
            "address_2": "SUITE 500 W",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "571-226-5600",
            "fax_number": "571-423-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD.",
            "address_2": "SUITE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "571-226-5600",
            "fax_number": "571-423-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGUET",
        "first_name": "NICCOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "RI",
            "license": "LP01270",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "VA",
            "license": "010124753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.