Individual provider Active NPI

Richard James Edgar, MD

  • Sports Medicine (Family Medicine) Physician
  • Reston, VA
National Provider Identifier
1851889158
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
0101275769 Issued in VA
Practice address
1850 Town Center Pkwy Ste 459
Reston, VA 20190-3300
Phone
(703) 892-6500
Fax
(703) 769-8437
NPI assigned
Apr 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X D0094921 MD
Sports Medicine (Family Medicine) Physician 207QS0010X MD473773 PA
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X 0101275769 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy Ste 459
Reston, VA 20190-3300

Mailing address

2445 Army Navy Dr FL 4
Arlington, VA 22206-2988
Phone (703) 892-6500

Other practice location 1

2501 Parkers Ln Ste 200
Alexandria, VA 22306-3209
Phone (703) 892-6500

Other practice location 2

3299 Woodburn Rd Ste 480
Annandale, VA 22003-7333
Phone (703) 892-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address redgar@andersonclinic.com Direct

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
I20220928000111 DC Practitioner - Orthopedic Surgery 4183040330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Maryland School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

1886 Metro Ctr Dr
Suite 300
Reston, VA 20190-5291
Phone (703) 892-6500

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

2800 S Shirlington Rd
Suite 1000
Arlington, VA 22206-3614

3299 Woodburn Rd
Suite 480
Annandale, VA 22003-7333
Phone (703) 892-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0094921MDMDSports Medicine (Family Medicine) Physician
MD473773PAMDSports Medicine (Family Medicine) Physician
0101275769VAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC Sports Medicine CurrentSince Sep 1, 2022 Accepting new patients
Anderson Clinic LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

251 National Harbor Blvd
Ste 303
Oxon Hill, MD 20745

2501 Parkers Ln
Ste 200
Alexandria, VA 22306

2501 Parkers Ln
#200
Alexandria, VA 22306
Phone (832) 704-3711

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3299 Woodburn Rd
Ste 480
Annandale, VA 22003
Phone (703) 876-0734

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

2445 Army Navy Dr
Fl 4
Arlington, VA 22206

2445 Army Navy Dr
Arlington, VA 22206

10716 Richmond Hwy
Lorton, VA 22079
Phone (270) 389-2650

10716 Richmond Hwy
Ste 100
Lorton, VA 22079

1886 Metro Center Dr
Ste 300
Reston, VA 20190

1850 Town Center Pkwy
Ste 459
Reston, VA 20190
Phone (410) 825-7000

Interoperability endpoints

  • Direct secure messaging: redgar@andersonclinic.emadirect.md
  • Direct secure messaging: richard.edgar@aoc.directbygreenway.com

Organizations & group practices 2

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 3

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1851889158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR FL 4",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062988",
            "telephone_number": "703-892-6500",
            "fax_number": "703-769-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 459",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903300",
            "telephone_number": "703-892-6500",
            "fax_number": "703-769-8437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Parkers Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "703-892-6500",
            "fax_number": "703-769-8437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3299 Woodburn Rd Ste 480",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220037333",
            "country_code": "US",
            "telephone_number": "703-892-6500",
            "fax_number": "703-769-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MD",
            "license": "D0094921",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD473773",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101275769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "redgar@andersonclinic.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2445 Army Navy Dr Fl 4",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222062988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.