Individual provider Active NPI

Joann Pfundstein, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1912900598
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101052483 Issued in VA
Practice address
3020 Hamaker CT
Suite B102
Fairfax, VA 22031-2238
Phone
(571) 327-5107
Fax
(571) 327-5786
NPI assigned
May 27, 2005
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101052483 VA Primary

Addresses

Primary practice location

3020 Hamaker CT
Suite B102
Fairfax, VA 22031-2238

Mailing address

3020 Hamaker Court
Suite B102
Fairfax, VA 22031-2220
Phone (571) 327-5107

Other identifiers 2

IdentifierTypeStateIssuer
5873576MedicaidVA
A582-0003OtherBCBS PLANS

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
I20070302000332 DC Practitioner - Internal MedicinePractitioner - Infectious Disease 9638271059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3020 Hamaker CT
Suite B102
Fairfax, VA 22031-2220
Phone (571) 422-9324

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052483VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joann Pfundstein, MD, LLC CurrentSince Jul 11, 2016 Accepting new patients
Pfundstein Hospitalist and Consultative Services, P.C. Internal Medicine PastSince Dec 6, 2006 Accepting new patients

Locations

3020 Hamaker Ct
Ste B102
Fairfax, VA 22031
Phone (571) 327-5107

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13717/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joann.pfundstein.1@13717.direct.athenahealth.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 5

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1912900598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER COURT",
            "address_2": "SUITE B102",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220",
            "telephone_number": "571-327-5107",
            "fax_number": "571-327-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT",
            "address_2": "SUITE B102",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312238",
            "telephone_number": "571-327-5107",
            "fax_number": "571-327-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFUNDSTEIN",
        "first_name": "JOANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101052483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5873576",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PLANS",
            "identifier": "A582-0003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.