Individual provider Active NPI

James A. Fike, MD

  • Internal Medicine Physician
  • Andrews Afb, MD
National Provider Identifier
1689665457
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD042949L Issued in PA
Practice address
3500 Fetchet Ave
Andrews Afb, MD 20762-5157
Phone
(301) 836-8536
Fax
(301) 836-7446
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD042949L PA Primary

Addresses

Primary practice location

3500 Fetchet Ave
Andrews Afb, MD 20762-5157

Mailing address

8600 Woodland Heights CT
Alexandria, VA 22309-2248
Phone (703) 704-5259

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
I20160718002477 DC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5698068310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042949LPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1689665457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 WOODLAND HEIGHTS CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092248",
            "telephone_number": "703-704-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FETCHET AVE",
            "city": "ANDREWS AFB",
            "state": "MD",
            "postal_code": "207625157",
            "telephone_number": "301-836-8536",
            "fax_number": "301-836-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKE",
        "first_name": "JAMES",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042949L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews Afb, MD

Sources for this page

Verify at the official NPI Registry.