Individual provider Active NPI

Christos Mastroyannis, MD FACOG

  • Reproductive Endocrinology Physician
  • Fairfax, VA
National Provider Identifier
1629009543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
0101045024 Issued in VA
Practice address
8501 Arlington Blvd
Ste 500
Fairfax, VA 22031-4617
Phone
(877) 449-0400
Fax
(866) 696-6573
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 0101045024 VA Primary
Reproductive Endocrinology Physician 207VE0102X MD16241 DC
Reproductive Endocrinology Physician 207VE0102X D0030967 MD

Addresses

Primary practice location

8501 Arlington Blvd
Ste 500
Fairfax, VA 22031-4617

Mailing address

PO Box 61306
Virginia Beach, VA 23466-1306
Phone (877) 449-0400

Other identifiers 6

IdentifierTypeStateIssuer
058066OtherVAANTHEM BCBS
3137110OtherVAALLIANCE
J5120002OtherVACAREFIRST
0721945OtherVACIGNA
238730OtherVAANTHEM
4137457OtherVAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16241DCMDReproductive Endocrinology Physician
D0030967MDMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maurice Atiyeh MD Past Accepting new patients
Cranial Technologies Inc PastSince Aug 1, 2019 Accepting new patients
Cranial Technologies, Inc. Past Accepting new patients
The Muasher Center for Fertility and Ivf Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629009543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61306",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234661306",
            "telephone_number": "877-449-0400",
            "fax_number": "866-696-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD",
            "address_2": "STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314617",
            "telephone_number": "877-449-0400",
            "fax_number": "866-696-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROYANNIS",
        "first_name": "CHRISTOS",
        "name_prefix": "Dr.",
        "credential": "MD FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "VA",
            "license": "0101045024",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DC",
            "license": "MD16241",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "D0030967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "058066",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "3137110",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "J5120002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0721945",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "238730",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4137457",
            "state": "VA"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.