Active NPI
Igor Edward Janke, M.D.
- Psychiatry Physician
- Ashburn, VA
National Provider Identifier
1861533366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101273995
- Practice address
- 21001 Sycolin Rd Ste 360
Ashburn, VA 20147-4331 - Phone
- (038) 587-8387
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101273995 | VA | Primary |
Addresses
Primary practice location
21001 Sycolin Rd Ste 360
Ashburn, VA 20147-4331
Mailing address
17230 Twin Maple LN
Leesburg, VA 20176-7813
Phone (330) 703-4955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101273995 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Behavioral Medicine Inc | Psychiatry | Past | Accepting new patients |
| State of Ohio Office of Budget and Management, State Accounting | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Case Management Agency
- Columbus, OH
- NPI 1538134739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668902400000",
"number": "1861533366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17230 TWIN MAPLE LN",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201767813",
"telephone_number": "330-703-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21001 SYCOLIN RD STE 360",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474331",
"telephone_number": "038-587-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKE",
"first_name": "IGOR",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2022-11-20",
"certification_date": "2022-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101273995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.