Individual provider Active NPI

Adrienne N Dreyfuss, M.D.

  • Pediatrics Physician
  • Vienna, VA
National Provider Identifier
1629234737
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.127392 Issued in IL
Practice address
410 Maple Avenue West
Ste. 5
Vienna, VA 20180
Phone
(703) 938-2244
Fax
(703) 938-3669
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036.127392 IL Primary

Addresses

Primary practice location

410 Maple Avenue West
Ste. 5
Vienna, VA 20180

Mailing address

410 Maple Avenue West
Ste. 5
Vienna, VA 20180
Phone (703) 938-2244

Other names 1

  • Adrienne North Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221213000044 DC Practitioner - Emergency Medicine 3072982164 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.127392ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 31, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. Pediatrics CurrentSince Dec 31, 2023 Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1629234737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MAPLE AVENUE WEST",
            "address_2": "STE. 5",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "20180",
            "telephone_number": "703-938-2244",
            "fax_number": "703-938-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MAPLE AVENUE WEST",
            "address_2": "STE. 5",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "20180",
            "telephone_number": "703-938-2244",
            "fax_number": "703-938-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYFUSS",
        "first_name": "ADRIENNE",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.127392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "NORTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.