Active NPI
Mylene Tran Huynh, MD, MPH
- Family Medicine Physician
- Fairfax, VA
National Provider Identifier
1841273109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101224691
- Practice address
- 8303 Arlington Blvd
Ste 110
Fairfax, VA 22031 - Phone
- (703) 854-1108
- Fax
- (833) 730-1268
- NPI assigned
- Nov 21, 2005
- Last updated
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0101224691 | VA | |
| Acupuncturist | 171100000X | D0077367 | MD | |
| Family Medicine Physician | 207Q00000X | D0077367 | MD | |
| Family Medicine Physician | 207Q00000X | 0101224691 | VA | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 0101224691 | VA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | D0077367 | MD | |
| Pain Medicine Physician | 208VP0000X | 0101224691 | VA | |
| Pain Medicine Physician | 208VP0000X | D0077367 | MD |
Addresses
Primary practice location
8303 Arlington Blvd
Ste 110
Fairfax, VA 22031
Mailing address
8303 Arlington Blvd
Ste 110
Fairfax, VA 22031
Phone (703) 854-1108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150206001590 | MD | Order and Referring Only - Family Practice | 8527383983 | |
| I20170303000375 | VA | Order and Referring Only - Family Practice | 8527383983 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0077367 | MD | MD | Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1841273109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 ARLINGTON BLVD",
"address_2": "STE 110",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-854-1108",
"fax_number": "833-730-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 ARLINGTON BLVD",
"address_2": "STE 110",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-854-1108",
"fax_number": "833-730-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "MYLENE",
"middle_name": "TRAN",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0101224691",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "D0077367",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0077367",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101224691",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "VA",
"license": "0101224691",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MD",
"license": "D0077367",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "VA",
"license": "0101224691",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MD",
"license": "D0077367",
"primary": false
}
],
"identifiers": [],
"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 Sep 1, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.