Individual provider Active NPI

Anthony Lamar Mayen, MD

  • Pediatric Cardiology Physician
  • Fairfax, VA
National Provider Identifier
1780189472
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
0101285330 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
Mar 26, 2018
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 0101285330 VA Primary

Addresses

Primary practice location

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

Mailing address

8260 Willow Oaks Corporate Dr Ste 400
Fairfax, VA 22031-4513
Phone (703) 573-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221219001814 SC Practitioner - Pediatric Medicine 8325392269 Reassigns benefits to 1 organization
I20251002002994 DC Practitioner - Pediatric Medicine 8325392269 Reassigns benefits to 1 organization
I20251007004152 VA Practitioner - Pediatric Medicine 8325392269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Brody School of Medicine at East Carolina University, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8095 Innovation Park Dr
Fairfax, VA 22031-4868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101285330VAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Inova Health Care Services CurrentSince Sep 2, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 13, 2022 Accepting new patients
Inova Health Care Services CurrentSince Sep 2, 2025 Accepting new patients
Inova Health Care Services Pediatrics CurrentSince Sep 2, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 13, 2022 Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

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

6950 Piedmont Center Plz
Gainesville, VA 20155
Phone (540) 347-0400

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: amayen1448327@soc.inova.org
  • Direct secure messaging: amayen354965@direct.musc.edu
  • Direct secure messaging: amayen85523@directmcleodehealth.org

Organizations & group practices 6

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1780189472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "last_name": "MAYEN",
        "first_name": "ANTHONY",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "VA",
            "license": "0101285330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.