Individual provider Active NPI

Reagan Wei Quan, M.D.

  • Vascular Surgery Physician
  • Leesburg, VA
National Provider Identifier
1487788956
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101102774 Issued in VA
Practice address
44055 Riverside Pkwy Ste 226
Leesburg, VA 20176-5177
Phone
(703) 970-2670
Fax
(703) 970-0240
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101102774 VA
Vascular Surgery Physician 2086S0129X MD448558 PA
Vascular Surgery Physician 2086S0129X 0101102774 VA Primary

Addresses

Primary practice location

44055 Riverside Pkwy Ste 226
Leesburg, VA 20176-5177

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

2921 Telestar Ct
Falls Church, VA 22042-1205
Phone (703) 280-5858

Other practice location 2

3580 Joseph Siewick Dr Ste 401
Fairfax, VA 22033-1764
Phone (703) 205-7330

Other practice location 3

8081 Innovation Park Dr Ste 800
Fairfax, VA 22031-4867
Phone (571) 472-4600

Other practice location 4

8140 Ashton Ave Ste 125
Manassas, VA 20109-5700
Phone (703) 280-5858

Other practice location 5

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other practice location 6

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 7

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Other identifiers 5

IdentifierTypeStateIssuer
2897463OtherPAHIGHMARK BLUE SHIELD
67564400MedicaidMD
420534OtherPAUPMC
102832761MedicaidPA
30158392OtherPAAMERIHEALTH CARITAS - WMG

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rquan245224@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

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
I20170330001252 DC Practitioner - Vascular Surgery 2961536404 Reassigns benefits to 1 organization
I20170417000415 VA Practitioner - Vascular Surgery 2961536404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Boston University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

14349 Gideon Dr
Woodbridge, VA 22192-4641

224 A Cornwall St NW
Suite 3.024
Leesburg, VA 20176-2701
Phone (703) 771-2837

224 B Cornwall NWST
Leesburg, VA 20176-2701

224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

8140 Ashton Ave
Suite 125
Manassas, VA 20109-5700
Phone (703) 280-5858

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23
Leg revascularization (restoring blood flow)77
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD448558PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2017 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8081 Innovation Park Dr
Ste 800
Fairfax, VA 22031
Phone (571) 472-4600

3580 Joseph Siewick Dr
Ste 401
Fairfax, VA 22033
Phone (703) 205-7330

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

2921 Telestar Ct
Falls Church, VA 22042
Phone (703) 591-1280

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

44055 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530

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

44055 Riverside Pkwy
Ste 226
Leesburg, VA 20176
Phone (202) 321-8162

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

8140 Ashton Ave
Ste 125
Manassas, VA 20109
Phone (571) 665-6550

Interoperability endpoints

  • Direct secure messaging: rquan245224@soc.inova.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1487788956",
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            "country_name": "United States",
            "address_purpose": "MAILING",
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            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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            "address_1": "44055 RIVERSIDE PKWY STE 226",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765177",
            "telephone_number": "703-970-2670",
            "fax_number": "703-970-0240"
        }
    ],
    "practiceLocations": [
        {
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            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421205",
            "country_code": "US",
            "telephone_number": "703-280-5858",
            "fax_number": "703-849-0874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Joseph Siewick Dr Ste 401",
            "address_purpose": "LOCATION",
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            "postal_code": "220331764",
            "country_code": "US",
            "telephone_number": "703-205-7330",
            "fax_number": "703-205-7331",
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        {
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            "postal_code": "201095700",
            "country_code": "US",
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            "fax_number": "703-849-0874",
            "country_name": "United States",
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        {
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            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Joseph Siewick Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331709",
            "country_code": "US",
            "telephone_number": "703-391-3600",
            "fax_number": "703-391-3414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAN",
        "first_name": "REAGAN",
        "middle_name": "WEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101102774",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD448558",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101102774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2897463",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67564400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "420534",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102832761",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS - WMG",
            "identifier": "30158392",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rquan245224@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "44055 Riverside Pkwy Ste 226",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201765177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.