Individual provider Active NPI

Christopher Charles Wyckoff, MD

  • Pulmonary Disease Physician
  • Falls Church, VA
National Provider Identifier
1669649620
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101235715 Issued in VA
Practice address
500 W Annandale Rd
Falls Church, VA 22046-4205
Phone
(703) 521-6662
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101235715 VA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101235715 VA

Addresses

Primary practice location

500 W Annandale Rd
Falls Church, VA 22046-4205

Mailing address

1400 S Joyce St
Arlington, VA 22202-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080714000135 DC Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8426120114 Reassigns benefits to 1 organization
I20140908000482 VA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8426120114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Rochester School of Medicine and Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1625 N George Mason Dr
Arlington, VA 22205-3690
Phone (703) 521-6662

500 W Annandale Rd
Falls Church, VA 22046-4205
Phone (703) 521-6662

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Critical Care Medicine CurrentSince Nov 26, 2013 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 26, 2013 Accepting new patients
Pulmonary and Medical Associates of Northern Virginia LTD Pulmonary Disease PastSince Nov 27, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1635 N George Mason Dr
Ste 190
Arlington, VA 22205
Phone (703) 521-6662

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

500 W Annandale Rd
Falls Church, VA 22046
Phone (703) 521-6662

510 W Annandale Rd
Ste 100
Falls Church, VA 22046

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christopher.wyckoff.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669649620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S JOYCE ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222021872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W ANNANDALE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464205",
            "telephone_number": "703-521-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCKOFF",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101235715",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101235715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.