Individual provider Active NPI

Beverly A Whittenberg, MD

  • Interventional Pain Medicine Physician
  • Fairfax, VA
National Provider Identifier
1366483034
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0101239973 Issued in VA
Practice address
8501 Arlington Blvd Ste 410
Fairfax, VA 22031
Phone
(703) 738-4331
Fax
(703) 642-1876
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101239973 VA
Interventional Pain Medicine Physician 208VP0014X 0101239973 VA Primary

Addresses

Primary practice location

8501 Arlington Blvd Ste 410
Fairfax, VA 22031

Mailing address

11350 McCormick Road
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwhittenberg@spineandpain.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061004000629 DC Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1456333970 Reassigns benefits to 1 organization
I20250121002497 VA Practitioner - Pain Management 1456333970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 100
Woodbridge, VA 22191-3337
Phone (703) 738-4371

15195 Heathcote Blvd
Suite 230
Haymarket, VA 20169-6245
Phone (703) 738-4384

6355 Walker LN
Suite 507
Alexandria, VA 22310-3251
Phone (703) 971-4604

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD Interventional Pain Medicine CurrentSince Aug 1, 2006 Accepting new patients
Physical Medicine Associates, LTD Interventional Pain Medicine CurrentSince Aug 1, 2006 Accepting new patients
Nazareth Hospital Interventional Pain Medicine Past Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

11350 McCormick Rd
Bldg 1
Hunt Valley, MD 21031

6710 Oxon Hill Rd
Ste 550
Oxon Hill, MD 20745
Phone (301) 485-7400

6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332

2800 S Shirlington Rd
Ste 102
Arlington, VA 22206
Phone (703) 738-4336

8501 Arlington Blvd
Ste 410
Fairfax, VA 22031
Phone (703) 738-4331

411B Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 368-3917

5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262

1420 Spring Hill Rd
Ste 210
McLean, VA 22102
Phone (703) 738-4342

1860 Town Center Dr
Ste 430
Reston, VA 20190
Phone (703) 735-4335

14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1366483034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD STE 410",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-738-4331",
            "fax_number": "703-642-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTENBERG",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101239973",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101239973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwhittenberg@spineandpain.emadirect.md",
            "affiliation": "N",
            "address_1": "8501 Arlington Blvd Ste 410",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.