Individual provider Active NPI

Mark C Tekrony, PH.D., M.D.

  • Neurology Physician
  • Reston, VA
National Provider Identifier
1386613826
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101232613 Issued in VA
Practice address
1830 Town Center Dr Ste 305
Reston, VA 20190-3217
Phone
(703) 876-0800
Fax
(703) 876-0866
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 0101232613 VA
Clinical Neurophysiology Physician 2084N0600X 0101232613 VA
Neurology Physician 2084N0400X 0101232613 VA Primary

Addresses

Primary practice location

1830 Town Center Dr Ste 305
Reston, VA 20190-3217

Mailing address

3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2238
Phone (703) 876-0800

Other identifiers 1

IdentifierTypeStateIssuer
010064414MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@ncf.directbygreenway.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
I20040417000610 DC Practitioner - Neurology 2668467747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Center of Fairfax, LTDGroup PAC ID 3577558659, 14 clinicians

Practice addresses (Care Compare)

1830 Town Ctr Dr
Suite 305
Reston, VA 20190-3217
Phone (703) 876-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101232613VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Center of Fairfax, LTD Neurology CurrentSince Jul 1, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3020 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (703) 864-0800

1830 Town Center Dr
Ste 305
Reston, VA 20190
Phone (703) 478-0601

Interoperability endpoints

  • Direct secure messaging: clinical@ncf.directbygreenway.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1386613826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT",
            "address_2": "SUITE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312238",
            "telephone_number": "703-876-0800",
            "fax_number": "703-876-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 305",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903217",
            "telephone_number": "703-876-0800",
            "fax_number": "703-876-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKRONY",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "VA",
            "license": "0101232613",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "VA",
            "license": "0101232613",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101232613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010064414",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@ncf.directbygreenway.com",
            "affiliation": "N",
            "address_1": "1830 Town Center Dr Ste 305",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.