Individual provider Active NPI

William Randolph Mook, M.D.

  • Orthopaedic Surgery Physician
  • Reston, VA
National Provider Identifier
1528201134
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101258773 Issued in VA
Practice address
1850 Town Center Pkwy
Ste 400
Reston, VA 20190-3219
Phone
(703) 810-5202
Fax
(703) 810-5420
NPI assigned
Apr 13, 2009
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101258773 VA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 53419 CO

Addresses

Primary practice location

1850 Town Center Pkwy
Ste 400
Reston, VA 20190-3219

Mailing address

PO Box 75420
Baltimore, MD 21275-5420
Phone (703) 383-6469

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmook6373@direct.orthovirginia.com Other

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
I20150813009462 DC Practitioner - Orthopedic Surgery 5193030625 Reassigns benefits to 1 organization
I20170130001225 VA Practitioner - Orthopedic Surgery 5193030625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Virginia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (703) 810-5202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53419COMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc Orthopaedic Surgery Current Accepting new patients
Orthovirginia Inc. Orthopaedic Surgery Current Accepting new patients
Orthovirginia, Inc. CurrentSince Sep 28, 2015 Accepting new patients
Orthovirginia, Inc. Orthopaedic Surgery Past Accepting new patients
Commonwealth Orthopaedics & Rehabilitation, PC Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1850 Town Center Pkwy
Ste 400
Reston, VA 20190
Phone (703) 234-1000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1528201134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755420",
            "telephone_number": "703-383-6469",
            "fax_number": "703-385-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "address_2": "STE 400",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-810-5202",
            "fax_number": "703-810-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOK",
        "first_name": "WILLIAM",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101258773",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "53419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmook6373@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Mook direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1850 Town Center Pkwy",
            "address_2": "Ste 400",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.