Individual provider Active NPI

Bianca Kenyon, M.D.

  • Vascular Surgery Physician
  • Manassas, VA
National Provider Identifier
1609293836
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101284134 Issued in VA
Practice address
8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone
(571) 581-1771
NPI assigned
Mar 26, 2014
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101284134 VA
Vascular Surgery Physician 2086S0129X 0101284134 VA Primary

Addresses

Primary practice location

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688

Mailing address

200 1St St SW
Rochester, MN 55905-0001

Other practice location 1

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7980

Other practice location 2

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20241210004739 DC Practitioner - Vascular SurgeryPractitioner - General Surgery 8224443502 Reassigns benefits to 1 organization
I20250103001888 VA Practitioner - Vascular SurgeryPractitioner - General Surgery 8224443502 Reassigns benefits to 1 organization
I20260611002820 NY Practitioner - Vascular Surgery 8224443502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Saint Louis University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians
Carient Heart and Vascular, LLCGroup PAC ID 4082972468, 25 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (877) 415-4116

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688
Phone 57158117712611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carient Heart & Vascular, LLC CurrentSince Sep 20, 2024 Accepting new patients

Locations

7617 Little River Tpke
Ste 110
Annandale, VA 22003
Phone (571) 581-1771

15195 Heathcote Blvd
Ste 310
Haymarket, VA 20169
Phone (571) 581-1771

8100 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (571) 581-1771

1850 Town Center Pkwy
Ste 566
Reston, VA 20190

422 Garrisonville Rd
Ste 110
Stafford, VA 22554
Phone (540) 657-6400

415 Church St NE
Ste 101
Vienna, VA 22180
Phone (571) 432-9454

415 Church St NE
Ste 203
Vienna, VA 22180
Phone (571) 581-1771

559 Frost Ave
Ste 102
Warrenton, VA 20186
Phone (540) 341-7530

Interoperability endpoints

  • Direct secure messaging: bianca.kenyon.p1@direct.chv.nextgenshare.com
  • Direct secure messaging: bkenyon285061@direct.healthpartners.com
  • Direct secure messaging: bkenyon666421@direct.healthsystem.virginia.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 1

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1609293836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "571-581-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Phalen Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551305302",
            "country_code": "US",
            "telephone_number": "651-254-7980",
            "fax_number": "651-254-7969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENYON",
        "first_name": "BIANCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101284134",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101284134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.