Active NPI
Daniel Bishop Tiller II, DO
- Sports Medicine (Family Medicine) Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 0102205902
- Practice address
- 6355 Walker LN Ste 500
Alexandria, VA 22310-3251 - Phone
- (703) 797-6970
- Fax
- (703) 922-3479
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 0102205902 | VA | Primary |
Addresses
Primary practice location
6355 Walker LN Ste 500
Alexandria, VA 22310-3251
Mailing address
PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699
Other practice location 1
611 Denbigh Blvd
Newport News, VA 23608-4415
Phone (757) 594-3800
Other names 1
- Dr. Daniel Bishop Tiller II
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3299 Woodburn Rd
Annandale, VA 22003-7326
Phone (703) 205-2626
3300 Gallows Rd
Falls Church, VA 22042-3300
6355 Walker LN
Alexandria, VA 22310-3251
Hospital & facility affiliations
- Inova Alexandria Hospital
- Inova Mount Vernon Hospital
- Inova Fair Oaks Hospital
- Inova Fairfax Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.98 of 100
- Quality
- 87.97
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
6355 Walker Ln
Ste 500
Alexandria, VA 22310
Phone (703) 373-3718
3299 Woodburn Rd
Ste 370
Annandale, VA 22003
Phone (703) 573-2066
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- dtiller1094004@soc.inova.org
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.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1396242913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37189",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973189",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN STE 500",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103251",
"telephone_number": "703-797-6970",
"fax_number": "703-922-3479"
}
],
"practiceLocations": [
{
"address_1": "611 Denbigh Blvd",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236084415",
"country_code": "US",
"telephone_number": "757-594-3800",
"fax_number": "757-594-3818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TILLER",
"first_name": "DANIEL",
"middle_name": "BISHOP",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "VA",
"license": "0102205902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "TILLER",
"middle_name": "BISHOP",
"prefix": "DR.",
"suffix": "II",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.