Individual provider Active NPI

Munique Pinheiro Maia, M.D.

  • Plastic Surgery Physician
  • Tysons Corner, VA
National Provider Identifier
1356620967
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101264761 Issued in VA
Practice address
8100 Boone Blvd Ste 730
Tysons Corner, VA 22182-2688
Phone
(703) 574-4500
Fax
(443) 949-7508
NPI assigned
Aug 12, 2011
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101264761 VA Primary

Addresses

Primary practice location

8100 Boone Blvd Ste 730
Tysons Corner, VA 22182-2688

Mailing address

8300 Greensboro Dr Ste L1-180
MC Lean, VA 22102-3605
Phone (703) 574-4500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@maiaplasticsurgery.com

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
I20181016001401 DC Practitioner - Plastic and Reconstructive Surgery 2365794575 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101264761VAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maia Plastic Surgery Plastic Surgery CurrentSince Jun 14, 2020 Accepting new patients
Gloria Duda, M.D., P.C. Plastic Surgery CurrentSince Oct 17, 2018 Accepting new patients

Locations

8300 Greensboro Dr
Ste L1180
Mc Lean, VA 22102

6845 Elm St
Ste 708
McLean, VA 22101
Phone (703) 293-5239

8100 Boone Blvd
Ste 730
Tysons Corner, VA 22182
Phone (703) 574-4500

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, 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": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1356620967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 GREENSBORO DR STE L1-180",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023605",
            "telephone_number": "703-574-4500",
            "fax_number": "443-949-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 BOONE BLVD STE 730",
            "city": "TYSONS CORNER",
            "state": "VA",
            "postal_code": "221822688",
            "telephone_number": "703-574-4500",
            "fax_number": "443-949-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINHEIRO MAIA",
        "first_name": "MUNIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101264761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@maiaplasticsurgery.com",
            "affiliation": "N",
            "address_1": "8100 Boone Blvd Ste 730",
            "city": "Tysons Corner",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221822688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tysons Corner, VA

Sources for this page

Verify at the official NPI Registry.