Individual provider Active NPI

Rafael Canadas, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Arlington, VA
National Provider Identifier
1497963227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
0101037148 Issued in VA
Practice address
3800 Fairfax Dr
Suite #3
Arlington, VA 22203-1711
Phone
(703) 525-0018
Fax
(703) 525-1229
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 0101037148 VA Primary

Addresses

Primary practice location

3800 Fairfax Dr
Suite #3
Arlington, VA 22203-1711

Mailing address

3800 Fairfax Dr
Suite #3
Arlington, VA 22203-1711
Phone (703) 525-0018

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
I20081209000311 DC Practitioner - Family PracticePractitioner - General PracticePractitioner - Obstetrics/Gynecology 9830250877 Practice locations: Arlington, VA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Obstetrics/Gynecology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3800 Fairfax Dr
Arlington, VA 22203-1703
Phone (703) 525-0018

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497963227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR",
            "address_2": "SUITE #3",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031711",
            "telephone_number": "703-525-0018",
            "fax_number": "703-525-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR",
            "address_2": "SUITE #3",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031711",
            "telephone_number": "703-525-0018",
            "fax_number": "703-525-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADAS",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101037148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.