Individual provider Active NPI

Robert M. Mordkin, MD

  • Urology Physician
  • Arlington, VA
National Provider Identifier
1821020579
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101051121 Issued in VA
Practice address
1625 N George Mason Dr Ste 454
Arlington, VA 22205-3684
Phone
(703) 717-4200
Fax
(703) 717-4201
NPI assigned
Jul 6, 2006
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101051121 VA Primary

Addresses

Primary practice location

1625 N George Mason Dr Ste 454
Arlington, VA 22205-3684

Mailing address

1625 N George Mason Dr Ste 454
Arlington, VA 22205-3684
Phone (703) 717-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmordkin13864@direct.virginiahospitalcenter.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040827000221 DC Practitioner - Urology 8325013097 Reassigns benefits to 1 organization
I20240618003327 GA Practitioner - Urology 8325013097

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Southern California Keck School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3610

1701 N George Mason Dr
Arlington, VA 22205-3698

1851 N George Mason Dr
Arlington, VA 22207-1953

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051121VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Aug 1, 2013 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

3475 N Beauregard St
Ste 201
Alexandria, VA 22302
Phone (703) 506-8590

1625 N George Mason Dr
Ste 415
Arlington, VA 22205
Phone (703) 717-4200

1625 N George Mason Dr
Ste 454
Arlington, VA 22205
Phone (703) 717-4180

1635 N George Mason Dr
Ste 140
Arlington, VA 22205
Phone (703) 717-4245

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1851 N George Mason Dr
Ste 4A
Arlington, VA 22207
Phone (703) 717-4200

Interoperability endpoints

  • Direct secure messaging: rmordkin13864@direct.virginiahospitalcenter.net

Organizations & group practices 4

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.

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1821020579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR STE 454",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053684",
            "telephone_number": "703-717-4200",
            "fax_number": "703-717-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR STE 454",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053684",
            "telephone_number": "703-717-4200",
            "fax_number": "703-717-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDKIN",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101051121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmordkin13864@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "1625 N George Mason Dr Ste 454",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.