Individual provider Active NPI

Stephen C Kauffman, M.D.

  • General Practice Physician
  • Alexandria, VA
National Provider Identifier
1912900952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101017616 Issued in VA
Practice address
3450 N Beauregard St
Ste 1
Alexandria, VA 22302-1200
Phone
(703) 820-7000
Fax
(703) 931-0059
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101017616 VA Primary

Addresses

Primary practice location

3450 N Beauregard St
Ste 1
Alexandria, VA 22302-1200

Mailing address

3450 N Beauregard St
Ste 1
Alexandria, VA 22302-1200
Phone (703) 820-7000

Other identifiers 5

IdentifierTypeStateIssuer
035936OtherVAANTHEM
2156OtherVACARE FIRST B/C B/S GROUP
0003OtherVAB/C B/S INIDVIDUAL #
246821OtherVAMAMSI
7471203OtherVAAETNA

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
I20190827000083 DC Order and Referring Only - General PracticePractitioner - General Practice 5799819967

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beauregard Medical Center, LTD General Practice Current Accepting new patients
Commonwealth Sleep Center, LLC PastSince Jun 1, 2008 Accepting new patients
Sanjeev Kohli, MD PC PastSince Feb 15, 2012 Accepting new patients

Locations

3450 N Beauregard St
Ste 1
Alexandria, VA 22302
Phone (703) 820-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGGBA

Organizations & group practices 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912900952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N BEAUREGARD ST",
            "address_2": "STE 1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021200",
            "telephone_number": "703-820-7000",
            "fax_number": "703-931-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 N BEAUREGARD ST",
            "address_2": "STE 1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021200",
            "telephone_number": "703-820-7000",
            "fax_number": "703-931-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101017616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "035936",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST B/C B/S GROUP",
            "identifier": "2156",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S INIDVIDUAL #",
            "identifier": "0003",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "246821",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7471203",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.