Active NPI
James R Mize, MD
- Anatomic Pathology & Clinical Pathology Physician
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101230993
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (703) 776-2638
- NPI assigned
- Aug 2, 2005
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101230993 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
11150 Fairfax Blvd
Suite 501
Fairfax, VA 22030
Phone (703) 691-2516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010096731 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Virginia School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1838 Greene Tree Rd
Suite 400
Pikesville, MD 21208-7103
Phone (410) 602-7782
19851 Observation Dr
Suite 245
Germantown, MD 20876-4151
Phone (301) 288-1319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101230993 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Care Specialists LLC | Current | Accepting new patients | |
| Pikesville MD Endoscopy ASC LLC | Current | Accepting new patients | |
| Lifebridge Community Gastroenterology, LLC | Current | Accepting new patients | |
| Fairfax Pathology Associates LTD | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Fairfax Pathology Associates, LTD. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Dr Wendy Kloesz, M.D., P.a | Past | Accepting new patients | |
| Houshang Makipour, MD PC | Past | Accepting new patients | |
| Inova Health Care Services - Pathology | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
19851 Observation Dr
Ste 245
Germantown, MD 20876
Phone (301) 288-1319
19851 Observation Dr
Germantown, MD 20876
Phone (240) 731-2813
1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343
1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AEBABD
Organizations & group practices 10
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.
-
- Gastroenterology Physician
- Pikesville, MD
- NPI 1033558416
-
- Gastroenterology Physician
- Woodbridge, VA
- NPI 1184624389
-
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
- NPI 1043497019
-
- Anatomic Pathology & Clinical Pathology Physician
- Falls Church, VA
- NPI 1053311357
-
- Anatomic Pathology & Clinical Pathology Physician
- Manassas, VA
- NPI 1063438091
-
- Specialist
- Woodbridge, VA
- NPI 1356773048
-
- Anatomic Pathology & Clinical Pathology Physician
- Falls Church, VA
- NPI 1427369578
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1144472887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232928000000",
"number": "1477554434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11150 FAIRFAX BLVD",
"address_2": "SUITE 501",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "703-691-2516",
"fax_number": "703-691-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZE",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2009-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101230993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010096731",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.