Active NPI
Robert N Kurtzke, M.D.
- Neurology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101045135
- Practice address
- 3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2238 - Phone
- (703) 876-0800
- Fax
- (703) 876-0866
- NPI assigned
- Mar 17, 2006
- Last updated
- Jun 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 0101045135 | VA | |
| Clinical Neurophysiology Physician | 2084N0600X | 0101045135 | VA | |
| Neurology Physician | 2084N0400X | 0101045135 | VA | Primary |
Addresses
Primary practice location
3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2238
Mailing address
3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2238
Phone (703) 876-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6100791 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinical@ncf.directbygreenway.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Georgetown University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2220
Phone 70387608001208
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101045135 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Center of Fairfax, LTD | Neurology | Current | Accepting new patients |
Locations
3020 Hamaker Ct
Fairfax, VA 22031
Phone (703) 207-0073
3020 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (703) 864-0800
Interoperability endpoints
- clinical@ncf.directbygreenway.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1922067164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT",
"address_2": "SUITE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312238",
"telephone_number": "703-876-0800",
"fax_number": "703-876-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT",
"address_2": "SUITE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312238",
"telephone_number": "703-876-0800",
"fax_number": "703-876-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZKE",
"first_name": "ROBERT",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "VA",
"license": "0101045135",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "VA",
"license": "0101045135",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101045135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6100791",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clinical@ncf.directbygreenway.com",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3020 Hamaker Ct",
"address_2": "Suite 400",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220312238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.