Individual provider Active NPI

C. Isabel Jander, MD

  • Pediatric Adolescent Medicine Physician
  • McLean, VA
National Provider Identifier
1720040298
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
0101240285 Issued in VA
Practice address
8365A Greensboro Drive
McLean, VA 22102
Phone
(703) 356-4444
Fax
(703) 734-0129
NPI assigned
Apr 3, 2006
Sex
Female
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 0101240285 VA Primary

Addresses

Primary practice location

8365A Greensboro Drive
McLean, VA 22102

Mailing address

8365A Greensboro Drive
McLean, VA 22102
Phone (703) 356-4444

Other identifiers 2

IdentifierTypeStateIssuer
D08720500OtherNJCDS
0101240285OtherVAVA STATE LICENSE

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
I20140605000665 DC Practitioner - Pediatric Medicine 5294959649 Reassigns benefits to 1 organization
I20140626000856 VA Practitioner - Pediatric Medicine 5294959649 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240285VAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anez & Bitar Medical PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720040298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365A GREENSBORO DRIVE",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22102",
            "telephone_number": "703-356-4444",
            "fax_number": "703-734-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8365A GREENSBORO DRIVE",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22102",
            "telephone_number": "703-356-4444",
            "fax_number": "703-734-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDER",
        "first_name": "C. ISABEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101240285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D08720500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE LICENSE",
            "identifier": "0101240285",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.