Individual provider Active NPI

Thomas Anthony Rakowski, M.D.

  • Nephrology Physician
  • Arlington, VA
National Provider Identifier
1912091463
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101020916 Issued in VA
Practice address
1635 North George Mason Drive
Suite 215
Arlington, VA 22205-3606
Phone
(703) 841-0707
Fax
(703) 841-0718
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101020916 VA Primary

Addresses

Primary practice location

1635 North George Mason Drive
Suite 215
Arlington, VA 22205-3606

Mailing address

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone (703) 246-9246

Other identifiers 18

IdentifierTypeStateIssuer
010079411MedicaidVA
010079802MedicaidVA
010079527MedicaidVA
010079632MedicaidVA
47430006OtherCAREFIRST
4186378OtherCIGNA
010079462MedicaidVA
010079578MedicaidVA
010079594MedicaidVA
010079781MedicaidVA
1243848OtherUNITED HEALTHCARE
010079616MedicaidVA
010079705MedicaidVA
010079764MedicaidVA
010079888MedicaidVA
010025532MedicaidVA
010079730MedicaidVA
010199832MedicaidVA

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
I20031220000069 DC Practitioner - Nephrology 4486552098 Reassigns benefits to 1 organization
I20120724000382 VA Practitioner - Nephrology 4486552098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Temple University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Nephrology Group LLPGroup PAC ID 2062471857, 15 clinicians

Practice addresses (Care Compare)

3930 Walnut St
Suite 101
Fairfax, VA 22030-4750
Phone (703) 246-9246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Quality
100
Promoting interoperability
79
Improvement activities
40
Cost
80.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101020916VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Nephrology Group, LLP Nephrology CurrentSince Jul 1, 2003 Accepting new patients

Locations

1635 N George Mason Dr
Ste 215
Arlington, VA 22205
Phone (703) 841-0707

1635 N George Mason Dr
#7600
Arlington, VA 22205

13135 Route 50
Ste 145
Fairfax, VA 22033
Phone (703) 378-1360

3930 Walnut St
Ste 101
Fairfax, VA 22030
Phone (703) 246-9246

8520 Cinder Bed Rd
Ste 100
Lorton, VA 22079
Phone (703) 339-6050

14000 Crown Ct
Ste 110
Woodbridge, VA 22193
Phone (703) 361-7341

Interoperability endpoints

  • Direct secure messaging: virginianephrology.trakowski@147473.advancedmd-direct.com

Organizations & group practices 1

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 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1912091463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH GEORGE MASON DRIVE",
            "address_2": "SUITE 215",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053606",
            "telephone_number": "703-841-0707",
            "fax_number": "703-841-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOWSKI",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101020916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079411",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079802",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079527",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079632",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "47430006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4186378",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079462",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079578",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079594",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079781",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1243848",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079616",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079705",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079764",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079888",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010025532",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079730",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010199832",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.