Individual provider Active NPI

Alan Eric Benheim, M.D.

  • Pediatric Cardiology Physician
  • Fairfax, VA
National Provider Identifier
1750369351
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
0101049505 Issued in VA
Practice address
8260 Willow Oaks Corporate Dr Ste 400
Fairfax, VA 22031-4513
Phone
(703) 573-0504
Fax
(703) 573-4856
NPI assigned
Jan 4, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 0101049505 VA Primary

Addresses

Primary practice location

8260 Willow Oaks Corporate Dr Ste 400
Fairfax, VA 22031-4513

Mailing address

8500 Executive Park Ave Ste 110
Fairfax, VA 22031-2228
Phone (703) 573-0504

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 2

8500 Executive Park Ave Ste 110
Fairfax, VA 22031-2228
Phone (703) 573-0504

Other identifiers 1

IdentifierTypeStateIssuer
006721028MedicaidVA

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
I20040426000097 DC Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 5294721098 Reassigns benefits to 1 organization
I20171023001072 VA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 5294721098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

8078 Crescent Park Dr
Suite 207
Gainesville, VA 20155-3449
Phone (703) 573-0504

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Aug 6, 2023 Accepting new patients
Inova Health Care Services CurrentSince Feb 5, 2011 Accepting new patients
Pediatric Cardiology Associates, P.C. Past Accepting new patients

Locations

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8500 Executive Park Ave
Ste 110
Fairfax, VA 22031

8260 Willow Oaks Corporate Dr
Ste 400
Fairfax, VA 22031
Phone (703) 560-2236

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

8078 Crescent Park Dr
Ste 207
Gainesville, VA 20155
Phone (571) 472-4487

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • Direct secure messaging: abenheim24804@soc.inova.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750369351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312228",
            "telephone_number": "703-573-0504",
            "fax_number": "703-573-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314513",
            "telephone_number": "703-573-0504",
            "fax_number": "703-573-4856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Executive Park Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312228",
            "country_code": "US",
            "telephone_number": "703-573-0504",
            "fax_number": "703-573-4856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENHEIM",
        "first_name": "ALAN",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "VA",
            "license": "0101049505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006721028",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.