Individual provider Active NPI

Lawrence A. Miller, M.D.

  • Cardiovascular Disease Physician
  • Alexandria, VA
National Provider Identifier
1396749362
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101035587 Issued in VA
Practice address
4660 Kenmore Ave
Ste 1200
Alexandria, VA 22304-1311
Phone
(703) 751-8111
Fax
(703) 751-1105
NPI assigned
Jun 8, 2005
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101035587 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave
Ste 1200
Alexandria, VA 22304-1311

Mailing address

2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other practice location 1

2901 Telestar Ct Ste 200
Falls Church, VA 22042-1262
Phone (703) 573-3494

Other identifiers 5

IdentifierTypeStateIssuer
031726300MedicaidDC
060062641OtherVARAILROAD MEDICARE VA #
060035109OtherDCRAILROAD MEDICARE DC #
1396749362MedicaidVA
182761800MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmiller@virginiaheart.direct.gemmsnet.com

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
I20040426001630 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 0648267344 Reassigns benefits to 1 organization
I20100301000883 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 0648267344 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101035587VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2011 Accepting new patients
Northern Virginia Community Hospital LLC Cardiovascular Disease CurrentSince Jun 15, 2017 Accepting new patients
Inova Health Care Services CurrentSince Feb 1, 2011 Accepting new patients
Northern Virginia Community Hospital, LLC CurrentSince Jun 15, 2017 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Alexandria Hospital Cardiovascular Disease Past Accepting new patients

Locations

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

4660 Kenmore Ave
Ste 1200
Alexandria, VA 22304
Phone (703) 751-8111

2901 Telestar Ct
Ste 200
Falls Church, VA 22042
Phone (703) 573-3494

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

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

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

44035 Riverside Pkwy
Ste 150
Leesburg, VA 20176
Phone (703) 858-5421

44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421

44055 Riverside Pkwy
Ste 150
Leesburg, VA 20176
Phone (703) 858-3050

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Interoperability endpoints

  • Direct secure messaging: lmiller25775@soc.inova.org

Organizations & group practices 7

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1396749362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "STE 1200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041311",
            "telephone_number": "703-751-8111",
            "fax_number": "703-751-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Telestar Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421262",
            "country_code": "US",
            "telephone_number": "703-573-3494",
            "fax_number": "703-573-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAWRENCE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101035587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031726300",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE VA #",
            "identifier": "060062641",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE DC #",
            "identifier": "060035109",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396749362",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182761800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmiller@virginiaheart.direct.gemmsnet.com",
            "affiliation": "N",
            "address_1": "4660 Kenmore Ave",
            "address_2": "Ste 1200",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223041311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.