Active NPI
Alan Eric Benheim, M.D.
- Pediatric Cardiology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 0101049505
- 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, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006721028 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Georgetown University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
- Specialist
- Fairfax, VA
- NPI 1477610996
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.