Active NPI
Daniel Macleod Fistere Jr., M.D.
- Diagnostic Radiology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101263565
- Practice address
- 2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400 - Phone
- (703) 698-4488
- NPI assigned
- Apr 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101263565 | VA | Primary |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 287924-1 | NY |
Addresses
Primary practice location
2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400
Mailing address
2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4444
Other practice location 1
1275 York Ave
Department of Radiology
New York, NY 10065-6007
Phone (212) 639-2060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Elden St
Suite 16
Herndon, VA 20170-4841
Phone (703) 698-4488
11335 Pembrooke SQ
Waldorf, MD 20603-4845
Phone (703) 698-4488
19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470
450 Springpark PL
Suite 100
Herndon, VA 20170-5269
Phone (703) 481-9400
8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4232
Phone (703) 698-4488
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Alexandria Hospital
- Inova Loudoun Hospital
- Inova Mount Vernon Hospital
- Inova Fair Oaks Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 15 of 100
- Quality
- 0
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 28.96 of 100
- Quality
- 16.43
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- Quality
- 58.12
- Improvement activities
- 40
- Cost
- 68.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287924-1 | NY | MD | Diagnostic Neuroimaging (Radiology) Physician |
| 0101263565 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Reston MRI Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Fairfax Radiological Consultants | Diagnostic Neuroimaging | Current | Accepting new patients |
| Ifrc, LLC | Current | Accepting new patients | |
| Inova Reston MRI Center LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670
230 W Dares Beach Rd
Ste 100
Prnc Frederck, MD 20678
Phone (301) 855-9754
11335 Pembrooke Sq
#101
Waldorf, MD 20603
Phone (301) 856-6718
2722 Merrilee Dr
Ste 230
Fairfax, VA 22031
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001
4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230
Interoperability endpoints
- dfistere585845@soc.inova.org
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 and National Provider Directory roles.
-
- Specialist
- Falls Church, VA
- NPI 1114902509
DC, Diagnostic Neuroimaging
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Herndon, VA
- NPI 1972838993
DC, Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Falls Church, VA
- NPI 1568593440
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Centreville, VA
- NPI 1417674821
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1528358199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 MERRILEE DR",
"address_2": "STE 230",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314400",
"telephone_number": "703-698-4444",
"fax_number": "703-204-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 MERRILEE DR",
"address_2": "STE 230",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314400",
"telephone_number": "703-698-4488"
}
],
"practiceLocations": [
{
"address_1": "1275 York Ave",
"address_2": "Department of Radiology",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100656007",
"country_code": "US",
"telephone_number": "212-639-2060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISTERE",
"first_name": "DANIEL",
"middle_name": "MACLEOD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-15",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101263565",
"primary": true
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "NY",
"license": "287924-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.