Individual provider Active NPI

Andrew Woo, M.D.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1801231691
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D00081459 Issued in MD
Practice address
4375 Fair Lakes CT
Fairfax, VA 22033-4234
Phone
(571) 432-2600
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D00081459 MD Primary

Addresses

Primary practice location

4375 Fair Lakes CT
Fairfax, VA 22033-4234

Mailing address

4375 Fair Lakes CT
Fairfax, VA 22033-4234
Phone (571) 432-2600

Other practice location 1

Cci
7676 New Hampshire Ave #220
Takoma Park, MD 20912
Phone (301) 431-2972

Other identifiers 1

IdentifierTypeStateIssuer
330520100MedicaidMD

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
I20161221000086 DC Practitioner - Family Practice 8628365574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

5530 Wisconsin Ave
Suite 850
Chevy Chase, MD 20815-4446
Phone (301) 869-9776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D00081459MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine CurrentSince Oct 19, 2016 Accepting new patients
Frederick Health Hospital Inc PastSince Dec 1, 2019 Accepting new patients
Dr Arun K Gupta PC PastSince Jun 16, 2024 Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients

Locations

2101 E Jefferson St
#4E
Rockville, MD 20852

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1801231691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 FAIR LAKES CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334234",
            "telephone_number": "571-432-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 FAIR LAKES CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334234",
            "telephone_number": "571-432-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CCI",
            "address_2": "7676 New Hampshire Ave #220",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "20912",
            "country_code": "US",
            "telephone_number": "301-431-2972",
            "fax_number": "301-439-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D00081459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330520100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.