Individual provider Active NPI

Mark A Soltany, M.D.

  • Otolaryngic Allergy Physician
  • Fairfax, VA
National Provider Identifier
1861458960
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
0101047460 Issued in VA
Practice address
8316 Arlington Blvd
Suite 300
Fairfax, VA 22031-5207
Phone
(703) 573-7600
Fax
(703) 560-3808
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 0101047460 VA Primary
Otolaryngology Physician 207Y00000X 0101047460 VA

Addresses

Primary practice location

8316 Arlington Blvd
Suite 300
Fairfax, VA 22031-5207

Mailing address

3801 University Dr
Ste 200
Fairfax, VA 22030-2503
Phone (703) 573-7600

Other identifiers 1

IdentifierTypeStateIssuer
006502121MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20111222000153 DC Practitioner - Otolaryngology 5799868311 Reassigns benefits to 2 organizations
I20140506001080 VA Practitioner - Otolaryngology 5799868311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Eastern Virginia Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates PCGroup PAC ID 8022188069, 31 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

24805 Pinebrook Rd
Suite 201
Chantilly, VA 20152-4128
Phone (703) 383-8130

3801 University Dr
Suite 300
Fairfax, VA 22030-2503
Phone (703) 383-8130

6230 Rolling Rd
Suite Ij
Springfield, VA 22152-2307
Phone (571) 565-6460

Hospital & facility affiliations

  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

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
0101047460VAMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Otolaryngology Associates, PC Otolaryngology CurrentSince Jul 1, 1998 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Advanced Hearing Services Past Accepting new patients

Locations

24805 Pinebrook Rd
Ste 201
Chantilly, VA 20152
Phone (703) 327-4900

3801 University Dr
#200
Fairfax, VA 22030

3801 University Dr
#300
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
Ste 300
Fairfax, VA 22030
Phone (703) 383-8130

8316 Arlington Blvd
Ste 300
Fairfax, VA 22031
Phone (703) 573-2432

3801 University Dr
Ste 200
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
Fl 3
Fairfax, VA 22030
Phone (703) 383-8130

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1850 Town Center Pkwy
#305
Reston, VA 20190
Phone (703) 834-2900

1850 Town Center Pkwy
Ste 305
Reston, VA 20190
Phone (703) 834-2900

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.

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1861458960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY DR",
            "address_2": "STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302503",
            "telephone_number": "703-573-7600",
            "fax_number": "703-560-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-7600",
            "fax_number": "703-560-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTANY",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "VA",
            "license": "0101047460",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101047460",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006502121",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.