Individual provider Active NPI

Elliot Mahlof, MD

  • Cardiovascular Disease Physician
  • Fairfax, VA
National Provider Identifier
1609261635
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101274331 Issued in VA
Practice address
3025 Hamaker CT Ste 100
Fairfax, VA 22031-2229
Phone
(703) 641-9161
NPI assigned
Apr 6, 2015
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101274331 VA Primary

Addresses

Primary practice location

3025 Hamaker CT Ste 100
Fairfax, VA 22031-2229

Mailing address

3025 Hamaker CT Ste 100
Fairfax, VA 22031-2229
Phone (703) 641-9161

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
I20220912000644 DC Practitioner - Internal Medicine 2668857749 Reassigns benefits to 2 organizations
I20230216001144 VA Practitioner - Cardiovascular Disease (Cardiology) 2668857749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Reston Hospital Center LLCGroup PAC ID 4587602255, 10 clinicians

Practice addresses (Care Compare)

1830 Town Ctr Dr
Reston, VA 20190-3292
Phone (703) 481-3165

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

1850 Town Ctr Pkwy
Reston, VA 20190-3219
Phone (703) 689-9000

3300 Gallows Rd
Falls Church, VA 22042-3307

44084 Riverside Pkwy
Suite 150
Lansdowne, VA 20176-5158
Phone (703) 858-3185

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Cardiovascular Disease CurrentSince Aug 7, 2022 Accepting new patients
Reston Hospital Center, LLC CurrentSince Mar 1, 2023 Accepting new patients
Reston Hospital Center, LLC CurrentSince Mar 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 7, 2022 Accepting new patients
Privia Medical Group, LLC Cardiovascular Disease CurrentSince Apr 13, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3025 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (571) 405-6882

44084 Riverside Pkwy
Ste 150
Leesburg, VA 20176
Phone (571) 472-3270

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Interoperability endpoints

  • Direct secure messaging: elliot.mahlof.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1609261635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312229",
            "telephone_number": "703-641-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312229",
            "telephone_number": "703-641-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLOF",
        "first_name": "ELLIOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101274331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.