Mariya Bourget, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101247265 Issued in VA

Practice address

14330 Gideon Dr Ste B
Woodbridge, VA 22192-4640

Phone

(571) 408-6800

Fax

(703) 910-7021

NPI assigned

Apr 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21080/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/17938/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/CBCBDD/Endpoint/CBCBDD

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.

• Integrative Medicine & Wellness Inc

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1619792256
  Medicare reassignment NPD Authorized official
• Cavery Health Clinic

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1700441326
  Medicare reassignment NPD
• Clifton Centreville Medical Associates

  • Internal Medicine Physician
  • Centreville, VA
  • NPI 1912078619

  DC

  Medicare reassignment NPD
• Integrative Medicine & Wellness

  • Internal Medicine Physician
  • Aldie, VA
  • NPI 1386423804
  NPD Authorized official
• Nova Medical and Urgent Care Center, Inc.

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1588683742

  Internal Medicine

  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1477870541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 GIDEON DR STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "571-408-6800",
            "fax_number": "703-910-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 GIDEON DR STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924640",
            "telephone_number": "571-408-6800",
            "fax_number": "703-910-7021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5895 Trinity Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201201995",
            "country_code": "US",
            "telephone_number": "703-802-2004",
            "fax_number": "703-802-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURGET",
        "first_name": "MARIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101247265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Patricia Borrayo, PHD
• James Robert Boudreau, DMD
• Bouloute Healthcare Services, LLC
• Owmy Bouloute, DPM
• Farishta Boura, MD
• Sam Bowmer, M.S.W. , L.C.S.W.
• Michelle Lynn Boyd
• Carolyn R Boyer, OTR/L
• Patrice M Boykin, MSPT
• Susan Elizabeth Boylan, MD

• Internal Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.

Verify at the official NPI Registry.