Individual provider Active NPI

Ann Fayez Tannous, M.D.

  • Pediatrics Physician
  • Alexandria, VA
National Provider Identifier
1790816353
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101268379 Issued in VA
Practice address
675 N Washington St Ste 490
Alexandria, VA 22314-1940
Phone
(703) 765-6093
NPI assigned
Mar 7, 2007
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MT188350 PA
Pediatrics Physician 208000000X CT70003529 DE
Pediatrics Physician 208000000X N8997 TX
Pediatrics Physician 208000000X 0101268379 VA Primary

Addresses

Primary practice location

675 N Washington St Ste 490
Alexandria, VA 22314-1940

Mailing address

675 N Washington St Ste 490
Alexandria, VA 22314-1940
Phone (703) 765-6093

Other practice location 1

1451 Belle Haven Rd
Alexandria, VA 22307-1201
Phone (703) 765-6093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CT70003529DEMDPediatrics Physician
MT188350PAMDPediatrics Physician
N8997TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Docs, PLLC CurrentSince Jan 12, 2020 Accepting new patients

Locations

1451 Belle Haven Rd
Ste 110
Alexandria, VA 22307
Phone (703) 765-6093

675 N Washington St
Ste 490
Alexandria, VA 22314
Phone (703) 765-6093

Interoperability endpoints

  • Direct secure messaging: ann.tannous@tkd.eclinicaldirectplus.com

Organizations & group practices 1

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1790816353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N WASHINGTON ST STE 490",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141940",
            "telephone_number": "703-765-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N WASHINGTON ST STE 490",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141940",
            "telephone_number": "703-765-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Belle Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223071201",
            "country_code": "US",
            "telephone_number": "703-765-6093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNOUS",
        "first_name": "ANN",
        "middle_name": "FAYEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT188350",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "CT70003529",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N8997",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101268379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.