Terry A Allen, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Fairfax, VA
NPI 1932274925 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1932274925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 0101226190 (VA)
- Practice address
- 10721 Main St
# 200
Fairfax, VA 22030 - Phone
- (703) 385-6875
- Fax
- (703) 385-6875
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Virginia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group, LLC
Practice addresses (Care Compare)
3925 Old Lee Hwy
Suite 52C
Fairfax, VA 22030-2426
Phone (703) 385-6070
9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080702000283 | DC | Practitioner - Obstetrics/Gynecology | 4880766120 | Reassigns benefits to 1 organization |
| I20140624000204 | VA | Practitioner - Obstetrics/Gynecology | 4880766120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226190 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Gregory M. Koons, M.D.&Associates,P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| Terry Allen MD & Scott Forrest MD PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
950 N Glebe Rd
#4000
Arlington, VA 22203
8644 Sudley Rd
#220
Manassas, VA 20110
4000 Genesee Pl
Ste 205
Woodbridge, VA 22192
Phone (540) 479-3889
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- terry.allen.2@8042.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101226190 | VA | Yes |
Addresses
Primary practice location
10721 Main St
# 200
Fairfax, VA 22030
Mailing address
10721 Main St
# 200
Fairfax, VA 22030
Phone (703) 385-6870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3574058 | Other | HMO | |
| 138982 | Other | ANTHEM BCBS | |
| 8996869 | Other | CIGNA | |
| 503341 | Other | NCPPO | |
| 2125648 | Other | MAMSI | |
| 2187314 | Other | UNITED HEALTHCARE | |
| J758000 | Other | CAREFIRST BCBS | |
| 7059140 | Other | AETNA |
Other providers in Fairfax, VA
- Joshua M Allen
- Rebecca Allen
- Sidney Allen
- Susan Allen
- Susan R Allen
- Allergy Partners, PLLC
- Katharine M Alley
- Alliance Nurses for Home Health and Wellness, L.L.C.
- Alliance Rehab and Physical Therapy LLC
- Alliance Rehabilitation, LLC
All providers in Fairfax, VA · Obstetrics & Gynecology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.