Individual provider Active NPI

Trelawny Zimmermann, D.O.

  • Vascular & Interventional Radiology Physician
  • Springfield, VA
National Provider Identifier
1366804528
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0102207227 Issued in VA
Practice address
8001 Forbes PL Ste 103
Springfield, VA 22151-2205
Phone
(704) 824-3200
NPI assigned
Mar 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102207227 VA
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 0102207227 VA Primary

Addresses

Primary practice location

8001 Forbes PL Ste 103
Springfield, VA 22151-2205

Mailing address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

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
I20220622001900 DC Practitioner - Interventional Radiology 8921390113 Reassigns benefits to 3 organizations
I20220622002999 VA Practitioner - Interventional Radiology 8921390113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians
Inova Reston MRI Center LLCGroup PAC ID 2961540042, 101 clinicians

Practice addresses (Care Compare)

100 Elden St
Suite 16
Herndon, VA 20170-4841
Phone (703) 698-4488

1600 N Beauregard St
Suite 200
Alexandria, VA 22311-1732
Phone (703) 698-4444

19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488

224 Cornwall St NW
Cornwall ER Center
Leesburg, VA 20176-2799
Phone (703) 737-7520

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

3801 University Dr
Suite 120
Fairfax, VA 22030-2503
Phone (703) 698-4488

3833 Fairfax Dr
Suite 110
Arlington, VA 22203-1773
Phone (703) 698-4488

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

6211 Centreville Rd
Suite 400
Centreville, VA 20121-2641
Phone (703) 698-4488

6355 Walker LN
Alexandria, VA 22310-3245
Phone (703) 698-4444

7799 Leesburg Pike
Suite 104S
Falls Church, VA 22043-2413
Phone (703) 893-2820

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (703) 204-8333

8503 Arlington Blvd
Suite Ll100
Fairfax, VA 22031-4629
Phone (703) 698-4488

8505 Arlington Blvd
Suite 400
Fairfax, VA 22031-4636
Phone (703) 698-4484

8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4232
Phone (703) 698-4488

9321 Sanger St
Lorton, VA 22079-2720
Phone (703) 698-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
28.96 of 100Reported as group
Quality
16.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102207227VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Jan 21, 2024 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2024 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Feb 24, 2024 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology CurrentSince Feb 24, 2024 Accepting new patients
Ifrc, LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

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

6355 Walker Ln
Franconia, VA 22310
Phone (703) 664-7453

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 6

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 7

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1366804528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FORBES PL STE 103",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512205",
            "telephone_number": "704-824-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "TRELAWNY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102207227",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0102207227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.