Organization Active NPI

Metropolitan Surgical Associates, PC

  • Specialist
  • Arlington, VA
National Provider Identifier
1710036611
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101033221 Issued in VA
Legal business name
METROPOLITAN SURGICAL ASSOCIATES, PC
Practice address
1715 N George Mason Dr
Suite 403
Arlington, VA 22205-3609
Phone
(703) 717-4300
Fax
(703) 717-4301
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Marcelo Kuperschmit, MD
Title
President
Phone
(703) 717-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101033221 VA Primary

Addresses

Primary practice location

1715 N George Mason Dr
Suite 403
Arlington, VA 22205-3609

Mailing address

1715 N George Mason Dr
Suite 403
Arlington, VA 22205-3609
Phone (703) 717-4300

Other identifiers 1

IdentifierTypeStateIssuer
1710036611Other874231

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1710036611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "SUITE 403",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-717-4300",
            "fax_number": "703-717-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "SUITE 403",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-717-4300",
            "fax_number": "703-717-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "KUPERSCHMIT",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-717-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101033221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "874231",
            "identifier": "1710036611",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.