Individual provider Active NPI

Marina Protopapas, D.O.

  • Interventional Pain Medicine Physician
  • Fairfax, VA
National Provider Identifier
1760448666
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0102201844 Issued in VA
Practice address
3620 Joseph Siewick Dr Ste 101
Fairfax, VA 22033
Phone
(703) 343-4344
Fax
(703) 642-1876
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0102201844 VA
Interventional Pain Medicine Physician 208VP0014X 0102201844 VA Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr Ste 101
Fairfax, VA 22033

Mailing address

11350 McCormick Road
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mprotopapas@spineandpain.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000498 DC Practitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Physical Medicine and Rehabilitation 9436152923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Practice addresses (Care Compare)

3620 Joseph Siewick Dr
Suite 101
Fairfax, VA 22033-1757
Phone (703) 914-8000

6355 Walker LN
Suite 507
Alexandria, VA 22310-3251
Phone (703) 971-4604

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD Interventional Pain Medicine CurrentSince Aug 15, 2006 Accepting new patients
Physical Medicine Associates, LTD Interventional Pain Medicine CurrentSince Aug 15, 2006 Accepting new patients
NSPC Surgery Center of Maryland LLC Past Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

6710 Oxon Hill Rd
Ste 550
Oxon Hill, MD 20745
Phone (301) 485-7400

6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332

5520 Cherokee Ave
Ste 215
Alexandria, VA 22312
Phone (703) 998-8000

2800 S Shirlington Rd
Ste 102
Arlington, VA 22206
Phone (703) 738-4336

3620 Joseph Siewick Dr
Ste 101
Fairfax, VA 22033
Phone (703) 343-4344

3620 Joseph Siewick Dr
Ste 410
Fairfax, VA 22033

411B Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 368-3917

1420 Spring Hill Rd
Ste 210
McLean, VA 22102
Phone (703) 738-4342

1860 Town Center Dr
Ste 430
Reston, VA 20190
Phone (703) 735-4335

Interoperability endpoints

  • Direct secure messaging: mprotopapas@spineandpain.emadirect.md
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGHFDD/Endpoint/HGHFDD

Organizations & group practices 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1760448666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-343-4344",
            "fax_number": "703-642-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTOPAPAS",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102201844",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0102201844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mprotopapas@spineandpain.emadirect.md",
            "affiliation": "N",
            "address_1": "3620 Joseph Siewick Dr Ste 101",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.