Individual provider Active NPI

Grace Milad Felix, M.D.

  • Pediatric Gastroenterology Physician
  • Fairfax, VA
National Provider Identifier
1477810208
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
0101264182 Issued in VA
Practice address
3023 Hamaker CT
Fairfax, VA 22031-2207
Phone
(703) 876-2788
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X 0101264182 VA Primary

Addresses

Primary practice location

3023 Hamaker CT
Fairfax, VA 22031-2207

Mailing address

1518 Park Ave
Apt 402N
Baltimore, MD 21217-4772

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
I20181010002849 DC Practitioner - Pediatric MedicinePractitioner - Gastroenterology 2860642394 Reassigns benefits to 2 organizations
I20190507002903 VA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 2860642394 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101264182VAMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialists of Virginia, LLC Multi-Specialty CurrentSince Aug 21, 2018 Accepting new patients
Inova Health Care Services CurrentSince Feb 21, 2024 Accepting new patients
Inova Health Care Services Multi-Specialty CurrentSince Feb 21, 2024 Accepting new patients
Inova Health Care Services Multi-Specialty CurrentSince Feb 21, 2024 Accepting new patients

Locations

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

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

3023 Hamaker Ct
Fairfax, VA 22031
Phone (703) 280-3850

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

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

14904 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 492-6660

Interoperability endpoints

  • Direct secure messaging: gfelix590499@soc.inova.org

Organizations & group practices 4

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1477810208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 PARK AVE",
            "address_2": "APT 402N",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312207",
            "telephone_number": "703-876-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "GRACE",
        "middle_name": "MILAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "VA",
            "license": "0101264182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.