Benny O Iko, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101046304 Issued in VA

Practice address

5812 Hannora LN
Fairfax Station, VA 22039-1428

Phone

(703) 764-8012

Fax

(703) 463-1845

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: biko2360949@direct.trinity-health.org

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.

• Pin Point Radiology Practice Group, PA

  • Diagnostic Radiology Physician
  • Hudson, OH
  • NPI 1225263767
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1922008325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 HANNORA LN",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391428",
            "telephone_number": "703-764-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 HANNORA LN",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391428",
            "telephone_number": "703-764-8012",
            "fax_number": "703-463-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKO",
        "first_name": "BENNY",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101046304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010144108",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Iny Harris, MPH, RD
• Hoyos & Pinto Dentistry, PLLC
• Joelle Hugney
• Christine Huynh
• Ignaz P Jarbadan MD PC
• Independent You, LLC
• Catherine M. Janus, PT
• Margaret Montgomer Jones, RN
• Nathalie G Kassis, PT
• Kimberly Renee Keller, DNP

• Diagnostic Radiology Physician in Fairfax Station, VA
• Providers in Fairfax Station, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.