Individual provider Active NPI

Lorna Lynn Cvetkovich, M.D.

  • Obstetrics & Gynecology Physician
  • Fairfax, VA
National Provider Identifier
1376632661
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301080442 Issued in MI
Practice address
4001 Fair Ridge Dr Ste 304
Fairfax, VA 22033-2917
Phone
(703) 273-9440
Fax
(703) 273-9445
NPI assigned
Oct 12, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301080442 MI Primary

Addresses

Primary practice location

4001 Fair Ridge Dr Ste 304
Fairfax, VA 22033-2917

Mailing address

4001 Fair Ridge Dr Ste 304
Fairfax, VA 22033-2917
Phone (703) 273-9440

Other identifiers 1

IdentifierTypeStateIssuer
4441193MedicaidMI

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
I20080723000307 DC Practitioner - Obstetrics/Gynecology 7719971969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4001 Fair Ridge Dr
Suite 304
Fairfax, VA 22033-2917
Phone (703) 273-9440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080442MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tepeyac Family Center, LLC Obstetrics & Gynecology CurrentSince May 1, 2008 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2013 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology CurrentSince Feb 1, 2013 Accepting new patients
Kentucky Orthopaedics & Spine PLLC Past Accepting new patients
Caritas Center for Womens Health, P.C. Obstetrics & Gynecology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4001 Fair Ridge Dr
Ste 304
Fairfax, VA 22033
Phone (301) 648-5464

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4035/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lorna.cvetkovich@tfc.directbygreenway.com

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, 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376632661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR STE 304",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-273-9440",
            "fax_number": "703-273-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR STE 304",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-273-9440",
            "fax_number": "703-273-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVETKOVICH",
        "first_name": "LORNA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301080442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4441193",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.