Individual provider Active NPI

David Park, MD

  • Cardiovascular Disease Physician
  • Alexandria, VA
National Provider Identifier
1457518722
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101251577 Issued in VA
Practice address
8101 Hinson Farm Rd
Alexandria, VA 22306-3403
Phone
(703) 780-9014
Fax
(703) 780-9077
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0101251577 VA Primary

Addresses

Primary practice location

8101 Hinson Farm Rd
Alexandria, VA 22306-3403

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (703) 780-9014

Other identifiers 1

IdentifierTypeStateIssuer
1457518722MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpark25920@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

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
I20120720000342 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860658747 Reassigns benefits to 1 organization
I20120816000301 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860658747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Chicago, Pritzker School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

14349 Gideon Dr
Woodbridge, VA 22192-4641

14605 Potomac Branch Dr
Suite 210
Woodbridge, VA 22191-3337
Phone (703) 620-3211

1600 N Beauregard St
150 Inova Health Care Services Img
Alexandria, VA 22311-1732
Phone (571) 472-0080

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (877) 511-4625

3300 Gallows Rd
Falls Church, VA 22042-3307

400 Fannon St
FL 3
Alexandria, VA 22301-1011
Phone (703) 780-9014

4320 Seminary Rd
Alexandria, VA 22304-1535

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

8081 Innovation Park Dr
Fairfax, VA 22031-4867

8101 Hinson Farm Rd
Suite 408
Alexandria, VA 22306-3409
Phone (703) 780-9014

8109 Tis Well Dr
Suite 511
Alexandria, VA 22306-3211
Phone (703) 970-2630

9321 Sanger St
Lorton, VA 22079-2720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 22, 2015 Accepting new patients
Inova Health Care Services CurrentSince Dec 1, 2012 Accepting new patients
Inova Health Care Services CurrentSince Dec 1, 2012 Accepting new patients

Locations

8101 Hinson Farm Rd
Ste 408
Alexandria, VA 22306
Phone (703) 207-7007

8101 Hinson Farm Rd
Alexandria, VA 22306
Phone (571) 371-8325

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

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

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

8988 Lorton Station Blvd
Ste 200
Lorton, VA 22079

2296 Opitz Blvd
Ste 280
Woodbridge, VA 22191
Phone (703) 730-3817

14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 3

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1457518722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "703-780-9014",
            "fax_number": "703-780-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-780-9014",
            "fax_number": "703-780-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101251577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457518722",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpark25920@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3300 Gallows Rd",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220423300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.