Individual provider Active NPI

Mert Tugrul Kivanc, D.O.

  • Rheumatology Physician
  • Falls Church, VA
National Provider Identifier
1356360416
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0102050060 Issued in VA
Practice address
6400 Arlington Blvd
Suite # 940
Falls Church, VA 22042-2325
Phone
(703) 241-1010
Fax
(703) 241-7723
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0102050060 VA Primary

Addresses

Primary practice location

6400 Arlington Blvd
Suite # 940
Falls Church, VA 22042-2325

Mailing address

6400 Arlington Blvd
Suite # 940
Falls Church, VA 22042-2325
Phone (703) 241-1010

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 Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alben G Goldstein MD PC Rheumatology Past Accepting new patients
Umc Holdings, Inc Past Accepting new patients
Dominion Urgent Care Center LLC Rheumatology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356360416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD",
            "address_2": "SUITE # 940",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422325",
            "telephone_number": "703-241-1010",
            "fax_number": "703-241-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD",
            "address_2": "SUITE # 940",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422325",
            "telephone_number": "703-241-1010",
            "fax_number": "703-241-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVANC",
        "first_name": "MERT",
        "middle_name": "TUGRUL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0102050060",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.

Verify at the official NPI Registry.