Individual provider Active NPI

Eric JW Choe, MD

  • Urology Physician
  • Fairfax, VA
National Provider Identifier
1669576377
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101047728 Issued in VA
Practice address
2826 Old Lee Hwy
#300
Fairfax, VA 22031-4323
Phone
(703) 273-9393
Fax
(703) 273-7928
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101047728 VA Primary

Addresses

Primary practice location

2826 Old Lee Hwy
#300
Fairfax, VA 22031-4323

Mailing address

2826 Old Lee Hwy
#300
Fairfax, VA 22031-4323
Phone (703) 273-9393

Other identifiers 2

IdentifierTypeStateIssuer
010272998MedicaidVA
G02282N07OtherPIN #

Other names 1

  • Jong W Choe Other 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
I20060324000467 DC Practitioner - Urology 8426066093 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Eric J W Choe MD PC Urology CurrentSince May 1, 2019 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Jan 2, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

3299 Woodburn Rd
Ste 450
Annandale, VA 22003
Phone (703) 207-2077

3299 Woodburn Rd
Ste 210
Annandale, VA 22003
Phone (703) 204-0000

2826 Old Lee Hwy
Ste 300
Fairfax, VA 22031
Phone (703) 258-0398

8503 Arlington Blvd
Ste 310
Fairfax, VA 22031
Phone (703) 208-4200

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

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1669576377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "#300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-273-9393",
            "fax_number": "703-273-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "#300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-273-9393",
            "fax_number": "703-273-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "ERIC",
        "middle_name": "JW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101047728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010272998",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN #",
            "identifier": "G02282N07",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONG",
            "last_name": "CHOE",
            "middle_name": "W",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.