Individual provider Active NPI

John J. Moynihan, M.D.

  • Surgery Physician
  • Fairfax, VA
National Provider Identifier
1932195914
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101033952 Issued in VA
Practice address
3620 Joseph Siewick Dr
Suite 406
Fairfax, VA 22033-1756
Phone
(703) 359-8640
Fax
(703) 591-6105
NPI assigned
Sep 23, 2005
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101033952 VA Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr
Suite 406
Fairfax, VA 22033-1756

Mailing address

3620 Joseph Siewick Dr
Suite 406
Fairfax, VA 22033-1756
Phone (703) 359-8640

Other identifiers 1

IdentifierTypeStateIssuer
7374101MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmoynihan18068@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20070525000313 VA Practitioner - General Surgery 5193828549 Reassigns benefits to 1 organization
I20101101001548 DC Practitioner - General Surgery 5193828549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Georgetown University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101033952VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 5, 2014 Accepting new patients
Inova Health Care Services CurrentSince Mar 10, 2013 Accepting new patients
Inova Health Care Services CurrentSince Mar 10, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13135 Route 50
Ste 305
Fairfax, VA 22033
Phone (703) 359-3706

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3620 Joseph Siewick Dr
Ste 406
Fairfax, VA 22033
Phone (703) 429-2109

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Ste 102
Leesburg, VA 20176
Phone (703) 858-1500

Interoperability endpoints

  • Direct secure messaging: jmoynihan18068@soc.inova.org

Organizations & group practices 4

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 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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1932195914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "SUITE 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-359-8640",
            "fax_number": "703-591-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "SUITE 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-359-8640",
            "fax_number": "703-591-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYNIHAN",
        "first_name": "JOHN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101033952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7374101",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoynihan18068@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3300 Gallows Rd",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220423300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.