Active NPI
Marietta F Grundlehner, MD
- Specialist
- Fairfax, VA
National Provider Identifier
1740288315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101032626
- Practice address
- 3700 Joseph Siewick Dr
#305
Fairfax, VA 22033-1744 - Phone
- (703) 476-1740
- Fax
- (703) 476-6432
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101032626 | VA | Primary |
Addresses
Primary practice location
3700 Joseph Siewick Dr
#305
Fairfax, VA 22033-1744
Mailing address
3700 Joseph Siewick Dr
#305
Fairfax, VA 22033-1744
Phone (703) 476-1740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Northern Virginia, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nephrology Physician
- Fairfax, VA
- NPI 1174541049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740288315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR",
"address_2": "#305",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331744",
"telephone_number": "703-476-1740",
"fax_number": "703-476-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR",
"address_2": "#305",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331744",
"telephone_number": "703-476-1740",
"fax_number": "703-476-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDLEHNER",
"first_name": "MARIETTA",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101032626",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.