NPIMap

Organization Active NPI

Inova Health Care Services

Doing business as Inova Fairfax Hospital

  • General Acute Care Hospital
  • Falls Church, VA
National Provider Identifier
1831220714
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
INOVA HEALTH CARE SERVICES
Doing business as
Inova Fairfax Hospital
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(703) 776-4001
NPI assigned
Mar 9, 2007
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Ricardo Talento
Title
Corporate Chief Financial Officer
Phone
(571) 472-8717

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Psychiatric Hospital Unit 273R00000X NU
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

8095 Innovation Park Dr
Fairfax, VA 22031-4868
Phone (540) 272-7378

Other identifiers 1

IdentifierTypeStateIssuer
004900634MedicaidVA

Other names 1

  • Inova Fairfax Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081016000241 VA Part A Provider - Hospital 2466351093 1 other NPI on this enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831220714. Details of each certification follow.

Hospital certification: CCN 490063

Legal name
INOVA HEALTH CARE SERVICES
Doing business as
INOVA FAIRFAX HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 19, 2014
Beds
923
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 13, 1956 in VA
Enrollment address
3300 Gallows Road
Falls Church, VA 22042-3307
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Inova Fairfax HospitalCCN 490063 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Fair Oak Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Madeline Erario Individual Corporate DirectorBoard Member Jan 1, 2021
Bruce Caswell Individual Corporate DirectorBoard Member Jan 1, 2025
Charles Beard Individual Corporate DirectorBoard Member Jan 1, 2026
Timothy Gillis Individual Corporate DirectorBoard Member Jan 1, 2025
Inova Health Systems Foundation Organization, Fairfax, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 1978 100%
Ricardo Talento Individual Corporate OfficerCorporate Cfo Nov 11, 2024
Terri McClements Individual Corporate DirectorTreasurer Jan 1, 2025
Jeffrey McKay Individual Corporate DirectorBoard Member Jan 1, 2025
Jace Stephen Jones Individual Corporate OfficerPresident/Ceo Apr 9, 2018
Renee Desilva Individual Corporate DirectorBoard Member Jan 1, 2021
Eliot J Fredd Individual W-2 Managing EmployeeSr Dir Rev Cycle Sbo Patient MGMT Nov 18, 2024
Toni Ardabell Individual W-2 Managing EmployeeAssoc Chief, Clinical Operations Jul 22, 2019
Kathryn Falk Individual Corporate DirectorBoard Member Jan 1, 2022
Maureen Sintich Individual W-2 Managing EmployeeChief Nurse Executive Jul 1, 2019
Jill Duncan Individual Corporate DirectorBoard Member Jan 1, 2021
Charanjit Singh Individual Corporate DirectorBoard Member Jan 1, 2026
Christopher Smith Individual Corporate Officer Jan 1, 2022
W-2 Managing Employee Jan 1, 2022
John Gaul Individual Corporate DirectorAsst. Secretary Jan 1, 2012
Lesley Kalan Individual Corporate DirectorBoard Member Jan 1, 2022
Paul Misener Individual Corporate DirectorBoard Member Jan 1, 2025
Tracy R Bish Individual W-2 Managing EmployeeInterim Assistant Vice President Jan 1, 2006
Nazzic Keene Individual Corporate DirectorBoard Member Jan 1, 2021
Craig Albert Individual Corporate DirectorBoard Member Jan 1, 2025
Olin Marcus McClain Individual W-2 Managing EmployeeSr Director of System Office Claims Nov 1, 2018
Jean Stack Individual Corporate DirectorBoard Member Jan 1, 2023
Filiz Greenberg Individual W-2 Managing EmployeeSr Dir Revenue Cycle Sbo Payor MGMT Jan 5, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Inova Home Health LLCFairfax, VA, CCN 497008 Home health agency 5% Or Greater Indirect Ownership Interest (51%) Sep 5, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2,423

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,423

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1831220714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8095 INNOVATION PARK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314868",
            "telephone_number": "540-272-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "TALENTO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CORPORATE CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "571-472-8717"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004900634",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Inova Fairfax Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inova Fairfax Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.