Active NPI
Andrew Woo, M.D.
- Family Medicine Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D00081459
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330520100 | Medicaid | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D00081459 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Dr Arun K Gupta PC | Past | 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.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1831492586
DC
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Family Medicine
-
- Cardiovascular Disease Physician
- Manassas, VA
- NPI 1093997900
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.