Organization Active NPI

Infectious Disease Consultants

  • Infectious Disease Physician
  • Fairfax, VA
National Provider Identifier
1710078951
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE CONSULTANTS
Practice address
11211 Waples Mill Road
Suite 200
Fairfax, VA 22030-7406
Phone
(703) 246-9560
Fax
(703) 246-9564
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Dr. Stephen E. Weinroth, M.D.NPI 1033130430
Title
Sr. Managing Member
Phone
(703) 246-9560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

11211 Waples Mill Road
Suite 200
Fairfax, VA 22030-7406

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070606000110 DC Part B Supplier - Clinic/Group Practice 2466550090 Receives reassigned benefits from 9 practitioners
Practice locations: Fairfax, VA
O20120627000558 VA DME Supplier - Physician - Unknown Physician Specialty 2466550090 Practice locations: Fairfax, VA
O20171011001217 VA Part B Supplier - Clinic/Group Practice 2466550090 Receives reassigned benefits from 8 practitioners
Practice locations: Leesburg, VA

National Provider Directory

National Provider Directory

Locations

10721 Main St
Ste 3400
Fairfax, VA 22030
Phone (703) 246-9560

Practitioners & affiliated clinicians

Practitioners 10

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1710078951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 WAPLES MILL ROAD",
            "address_2": "SUITE 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 ROAD",
            "address_2": "SUITE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307406",
            "telephone_number": "703-246-9560",
            "fax_number": "703-246-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "WEINROTH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SR. MANAGING MEMBER",
        "authorized_official_telephone_number": "703-246-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.