Active NPI
Beverly A Whittenberg, MD
- Interventional Pain Medicine Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 0101239973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bwhittenberg@spineandpain.emadirect.md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Inova Fairfax Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine Associates, LTD | Interventional Pain Medicine | Current | Accepting new patients |
| Physical Medicine Associates, LTD | Interventional Pain Medicine | Current | 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.
-
- Interventional Pain Medicine Physician
- MC Lean, VA
- NPI 1003884560
DC
-
- Interventional Pain Medicine Physician
- Fairfax, VA
- NPI 1316465461
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1124023015
Interventional Pain Medicine
-
- Clinical Laboratory Director (Non-physician)
- Columbia, MD
- NPI 1750840666
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.