Active NPI
Anthony Lamar Mayen, MD
- Pediatric Cardiology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 0101285330
- 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, 2025
- 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 | 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101285330 | VA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Pediatrics | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Current | 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
- amayen1448327@soc.inova.org
- amayen354965@direct.musc.edu
- 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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Pediatrics
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba Radiology Imaging Associates
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
-
dba MUSC Physicians
- Internal Medicine Physician
- Charleston, SC
- NPI 1750432704
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.