Individual provider Active NPI

Erick Daniel Temoka, M.D.

  • Pediatrics Physician
  • Sterling, VA
National Provider Identifier
1871740902
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101268804 Issued in VA
Practice address
46440 Benedict Dr Ste 208
Sterling, VA 20164-6602
Phone
(571) 665-6500
Fax
(571) 665-6501
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7919 SD
Pediatrics Physician 208000000X 0101268804 VA Primary

Addresses

Primary practice location

46440 Benedict Dr Ste 208
Sterling, VA 20164-6602

Mailing address

46440 Benedict Dr Ste 208
Sterling, VA 20164-6602
Phone (571) 665-6500

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-4001

Other practice location 2

201 S Lloyd St
E205
Aberdeen, SD 57401-4552
Phone (605) 622-4050

Other practice location 3

8501 Sudley Rd
Manassas, VA 20109-3563
Phone (571) 719-4180

Other practice location 4

7617 Little River Tpke Ste 850
Annandale, VA 22003-2618
Phone (571) 665-6620

Other practice location 5

4700 King St Ste 100
Alexandria, VA 22302-4420
Phone (571) 665-6610

Other practice location 6

6400 Arlington Blvd Ste 200
Falls Church, VA 22042-2336
Phone (703) 531-3100

Other identifiers 1

IdentifierTypeStateIssuer
7738980MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20200911002777 VA Practitioner - Pediatric Medicine 5698193308 Reassigns benefits to 1 organization
I20200916001409 DC Practitioner - Pediatric Medicine 5698193308 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7919SDMDPediatrics Physician
0101268804VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Pediatrics CurrentSince Aug 10, 2020 Accepting new patients
Inova Health Care Services CurrentSince Aug 10, 2020 Accepting new patients

Locations

4700 King St
Ste 100
Alexandria, VA 22302
Phone (571) 665-6570

7617 Little River Tpke
Ste 850
Annandale, VA 22003
Phone (571) 665-6620

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

6400 Arlington Blvd
Ste 200
Falls Church, VA 22042
Phone (703) 531-3100

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

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

8501 Sudley Rd
Manassas, VA 20109
Phone (571) 719-4180

46440 Benedict Dr
Ste 208
Sterling, VA 20164
Phone (571) 665-6500

Interoperability endpoints

  • Direct secure messaging: etemoka724117@soc.inova.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1871740902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR STE 208",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "571-665-6500",
            "fax_number": "571-665-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR STE 208",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "571-665-6500",
            "fax_number": "571-665-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Lloyd St",
            "address_2": "E205",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574014552",
            "country_code": "US",
            "telephone_number": "605-622-4050",
            "fax_number": "605-622-4049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201093563",
            "country_code": "US",
            "telephone_number": "571-719-4180",
            "fax_number": "571-719-4181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7617 Little River Tpke Ste 850",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220032618",
            "country_code": "US",
            "telephone_number": "571-665-6620",
            "fax_number": "571-665-6621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 King St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223024420",
            "country_code": "US",
            "telephone_number": "571-665-6610",
            "fax_number": "571-665-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Arlington Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220422336",
            "country_code": "US",
            "telephone_number": "703-531-3100",
            "fax_number": "703-531-3108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMOKA",
        "first_name": "ERICK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "7919",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101268804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7738980",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.