Individual provider Active NPI

Joseph Paul Letzelter III, M.D. ON 05/2012

  • Orthopaedic Hand Surgery Physician
  • Fairfax, VA
National Provider Identifier
1487910345
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
0101266891 Issued in VA
Practice address
3023 Hamaker CT Ste 500
Fairfax, VA 22031-2241
Phone
(703) 848-6627
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD047266 DC
Orthopaedic Surgery Physician 207X00000X 0101266891 VA
Pediatric Orthopaedic Surgery Physician 207XP3100X MD047266 DC
Pediatric Orthopaedic Surgery Physician 207XP3100X 0101266891 VA
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X MD047266 DC
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X 0101266891 VA Primary

Addresses

Primary practice location

3023 Hamaker CT Ste 500
Fairfax, VA 22031-2241

Mailing address

3023 Hamaker CT Ste 500
Fairfax, VA 22031-2241

Other practice location 1

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (888) 884-2327

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jletzelter96050@soc.inova.org Health Information Exchange (HIE) Pediatric Specialists of Virginia, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190910000317 DC Practitioner - Orthopedic SurgeryPractitioner - Pediatric MedicinePractitioner - Hand Surgery 2264761790 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Children'S HospitalGroup PAC ID 0244143170, 212 clinicians
Pediatric Specialists of Virginia LLCGroup PAC ID 7719110154, 8 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (301) 572-3514

3023 Hamaker CT
Suite 500
Fairfax, VA 22031-2241
Phone (571) 776-3100

3299 Woodburn Rd
Suite 370
Annandale, VA 22003-7326
Phone (703) 205-2626

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

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047266DCMDOrthopaedic Surgery Physician
0101266891VAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Single Specialty CurrentSince Dec 18, 2023 Accepting new patients
Pediatric Specialists of Virginia, LLC Single Specialty CurrentSince Dec 24, 2019 Accepting new patients
Children'S Hospital Single Specialty Current Accepting new patients
Children'S Hospital CurrentSince Aug 19, 2019 Accepting new patients
Children'S Hospital Single Specialty CurrentSince Aug 19, 2019 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Dec 18, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3299 Woodburn Rd
Ste 370
Annandale, VA 22003
Phone (703) 573-2066

3023 Hamaker Ct
Ste 500
Fairfax, VA 22031
Phone (571) 766-3137

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

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

Interoperability endpoints

  • Direct secure messaging: jletzelter96050@soc.inova.org

Organizations & group practices 7

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 2

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.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1487910345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312241",
            "telephone_number": "703-848-6627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Michigan Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102916",
            "country_code": "US",
            "telephone_number": "888-884-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETZELTER",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.D. ON 05/2012",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DC",
            "license": "MD047266",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101266891",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "DC",
            "license": "MD047266",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "VA",
            "license": "0101266891",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "DC",
            "license": "MD047266",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "VA",
            "license": "0101266891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jletzelter96050@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Pediatric Specialists of Virginia, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3023 Hamaker Ct Ste 500",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.