Individual provider Active NPI

Amy F Lewanda, MD

  • Pediatrics Physician
  • Fairfax, VA
National Provider Identifier
1467488049
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101051757 Issued in VA
Practice address
8505 Arlington Blvd
Suite 100
Fairfax, VA 22031-4621
Phone
(703) 970-2600
Fax
(703) 970-2620
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101051757 VA Primary

Addresses

Primary practice location

8505 Arlington Blvd
Suite 100
Fairfax, VA 22031-4621

Mailing address

8505 Arlington Blvd
Suite 100
Fairfax, VA 22031-4621
Phone (703) 970-2600

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
I20110629000277 DC Practitioner - Pediatric Medicine 7416134846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Icahn School of Medicine at Mount Sinai, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S HospitalGroup PAC ID 0244143170, 212 clinicians

Practice addresses (Care Compare)

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (301) 572-3514

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Feb 1, 2013 Accepting new patients
Pediatric Specialists of Virginia, LLC Pediatrics CurrentSince Feb 17, 2014 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Feb 1, 2013 Accepting new patients
Children'S Hospital Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

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

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1467488049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314621",
            "telephone_number": "703-970-2600",
            "fax_number": "703-970-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314621",
            "telephone_number": "703-970-2600",
            "fax_number": "703-970-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDA",
        "first_name": "AMY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101051757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.