Active NPI
Prestige Medical House Call LLC
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1497316269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRESTIGE MEDICAL HOUSE CALL LLC
- Practice address
- 8315 Lee Hwy Ste 202
Fairfax, VA 22031-2215 - Phone
- (703) 352-1959
- Fax
- (703) 352-2294
- NPI assigned
- Jun 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erwin Cheng, PT
- Title
- Ceo
- Phone
- (703) 352-1959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
8315 Lee Hwy Ste 202
Fairfax, VA 22031-2215
Mailing address
8315 Lee Hwy Ste 202
Fairfax, VA 22031-2215
Phone (703) 352-1959
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | homecare@phs-homehealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
8315 Route 29
Fairfax, VA 22031
1320 Central Park Blvd
Ste 110
Fredericksburg, VA 22401
Phone (703) 352-1939
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fairfax, VA
- NPI 1174928238
DC, Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, VA
- NPI 1205210788
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561334400000",
"number": "1497316269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8315 LEE HWY STE 202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312215",
"telephone_number": "703-352-1959",
"fax_number": "703-352-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8315 LEE HWY STE 202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312215",
"telephone_number": "703-352-1959",
"fax_number": "703-352-2294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE MEDICAL HOUSE CALL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A",
"authorized_official_last_name": "CHENG",
"authorized_official_first_name": "ERWIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "703-352-1959",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "homecare@phs-homehealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8315 Lee Hwy Ste 202",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220312215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.