Active NPI
Mary Ruth Infante, MD
- Psychiatry Physician
- Alexandria, VA
National Provider Identifier
1427092790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101-046537
- Practice address
- 1500 N Beauregard St
Suite 240
Alexandria, VA 22311-1715 - Phone
- (703) 575-8101
- NPI assigned
- Jun 16, 2006
- Last updated
- Jul 10, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101-046537 | VA | Primary |
Addresses
Primary practice location
1500 N Beauregard St
Suite 240
Alexandria, VA 22311-1715
Mailing address
1500 N Beauregard St.
Suite 240
Alexandria, VA 22311-1715
Phone (703) 575-8101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007101309 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
300 N Washington St
Falls Church, VA 22046-3441
Phone (703) 740-6966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-046537 | VA | MD | Psychiatry Physician |
Organizations & group practices 1
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": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1427092790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N BEAUREGARD ST.",
"address_2": "SUITE 240",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111715",
"telephone_number": "703-575-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N BEAUREGARD ST",
"address_2": "SUITE 240",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111715",
"telephone_number": "703-575-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTE",
"first_name": "MARY",
"middle_name": "RUTH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101-046537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007101309",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
- Sadia Iman, FNP
- Impression Dental, PC
- In-Home Medical Supply, Inc.
- Inceptus Psychological & Consulting Services
- Individual Empowerment Services
- Infinity Home Health Care
- Infinity Medical Transportation LLC
- James Ingram, LMT, BCTMB
- Inmost Being Behavioral & Consulting Services (Inmost Being BCS)
- Inner Tranquility Counseling Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.