NPIMap

Individual provider Active NPI

Martin Ucanda, MD

  • Infectious Disease Physician
  • Fairfax, VA
National Provider Identifier
1679709323
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101273182 Issued in VA
Practice address
11211 Waples Mill Rd Ste 200
Fairfax, VA 22030-7406
Phone
(703) 246-9560
Fax
(703) 246-9564
NPI assigned
Jun 9, 2009
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101273182 VA Primary

Addresses

Primary practice location

11211 Waples Mill Rd Ste 200
Fairfax, VA 22030-7406

Mailing address

11211 Waples Mill Rd Ste 200
Fairfax, VA 22030-7406
Phone (703) 246-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VA, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151106001740 CT Practitioner - Infectious DiseasePractitioner - Internal Medicine 9436469244 Reassigns benefits to 3 organizations
I20211014002428 VA Practitioner - Infectious DiseasePractitioner - Internal Medicine 9436469244 Reassigns benefits to 1 organization
I20211015002124 DC Practitioner - Infectious DiseasePractitioner - Internal Medicine 9436469244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease ConsultantsGroup PAC ID 2466550090, 10 clinicians

Practice addresses (Care Compare)

11211 Waples Mill Rd
Suite 200
Fairfax, VA 22030-7406
Phone (703) 246-9560

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 246-9560

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Infectious Disease Consultants Infectious Disease CurrentSince Dec 1, 2021 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Oct 12, 2015 Accepting new patients
Ipc Hospitalists of New England, P.C. CurrentSince Oct 12, 2015 Accepting new patients

Locations

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

365 Montauk Ave
Rm 2609
New London, CT 06320
Phone (860) 444-4739

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

11211 Waples Mill Rd
Ste 200
Fairfax, VA 22030
Phone (703) 246-9560

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1679709323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 WAPLES MILL RD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307406",
            "telephone_number": "703-246-9560",
            "fax_number": "703-246-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 WAPLES MILL RD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307406",
            "telephone_number": "703-246-9560",
            "fax_number": "703-246-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCANDA",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101273182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.