Organization Active NPI

Ozlem Goker-Alpan MD LLC

  • Clinical Genetics (M.D.) Physician
  • Fairfax, VA
National Provider Identifier
1659863025
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
0101247355 Issued in VA
Legal business name
OZLEM GOKER-ALPAN MD LLC
Practice address
3702 Pender Dr Ste 170
Fairfax, VA 22030-6066
Phone
(703) 261-6220
Fax
(703) 991-6592
NPI assigned
Jun 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Uyensa Beese
Title
Practice Adminitrative
Phone
(571) 529-6805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207SG0201X 0101247355 VA Primary

Addresses

Primary practice location

3702 Pender Dr Ste 170
Fairfax, VA 22030-6066

Mailing address

3702 Pender Dr Ste 170
Fairfax, VA 22030-6066
Phone (703) 261-6220

Other practice location 1

121 Congressional Ln Ste 320
Rockville, MD 20852-1542
Phone (703) 261-6220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225001400 DC Part B Supplier - Clinic/Group Practice 8527307248 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA; Rockville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2199439Ozlem Goker-Alpan MD, LLC3702 Pender Drive Suite 170, Fairfax, VA 22030Certificate of waiverNov 8, 2026

National Provider Directory

National Provider Directory

Locations

3702 Pender Dr
Ste 170
Fairfax, VA 22030
Phone (571) 529-6805

3959 Pender Dr
Ste 100
Fairfax, VA 22030

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/95bfb368-cccf-467f-b483-6c8f83ef71d6/

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1659863025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 PENDER DR STE 170",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306066",
            "telephone_number": "703-261-6220",
            "fax_number": "703-991-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 PENDER DR STE 170",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306066",
            "telephone_number": "703-261-6220",
            "fax_number": "703-991-6592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Congressional Ln Ste 320",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521542",
            "country_code": "US",
            "telephone_number": "703-261-6220",
            "fax_number": "703-991-6592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OZLEM GOKER-ALPAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "BEESE",
        "authorized_official_first_name": "UYENSA",
        "authorized_official_title_or_position": "PRACTICE ADMINITRATIVE",
        "authorized_official_telephone_number": "571-529-6805"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "VA",
            "license": "0101247355",
            "primary": true
        }
    ],
    "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 May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.