Benjamin Pasicov, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101027134 Issued in VA

Practice address

1340 Old Chain Bridge Rd
Ste. 101
McLean, VA 22101-3955

Phone

(703) 893-2273

Fax

(703) 893-4559

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 5, 2017 through Jun 5, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Inova Ucc LLC

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1508592114
  NPD (past)
• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440

  General Practice

  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487782280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD",
            "address_2": "STE. 101",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013955",
            "telephone_number": "703-893-2273",
            "fax_number": "703-893-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD",
            "address_2": "STE. 101",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013955",
            "telephone_number": "703-893-2273",
            "fax_number": "703-893-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASICOV",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101027134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outpatient Anesthesia Solutions PC
• Kimberlee H Overdeck, MD
• Susan M Pan, MSW
• Louise Parry, LCSW, M.ED
• Partnerships in Care Corporation
• Lillian Marlene Payne, MD
• Peggy J Lomax MD PLLC
• Personal Diagnostix Inc.
• Peter L Passero DDS & Brian a Feeney DMD PLC
• Susan McKool Pfeffer, LCSW

• General Practice Physician in McLean, VA
• Providers in McLean, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.