Individual provider Active NPI

Carmen Luz Pastor, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Sterling, VA
National Provider Identifier
1942378948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101057623 Issued in VA
Practice address
21475 Ridgetop Cir
Suite 350
Sterling, VA 20166-6580
Phone
(703) 430-6211
Fax
(703) 430-1414
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101057623 VA Primary

Addresses

Primary practice location

21475 Ridgetop Cir
Suite 350
Sterling, VA 20166-6580

Mailing address

21475 Ridgetop Cir
Suite 350
Sterling, VA 20166-6580
Phone (703) 430-6211

Other identifiers 1

IdentifierTypeStateIssuer
5874521MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120625000052 VA Practitioner - Endocrinology 5395796734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21475 Ridgetop Cir
Suite 350
Sterling, VA 20166-6580
Phone (703) 430-6211

21475 Ridgetop Circle
Suite 350
Sterling, VA 20166-6580

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology and Infectious Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2002 Accepting new patients
Prime Vascular Care LLC PastSince Jan 4, 2025 Accepting new patients

Locations

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

12475 Route 50
Fairfax, VA 22033
Phone (703) 352-7172

19420 Golf Vista Plz
Ste 230B
Lansdowne, VA 20176
Phone (571) 233-2302

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

20522 Falcons Landing Cir
Sterling, VA 20165
Phone (703) 404-5100

21475 Ridgetop Cir
Ste 350
Sterling, VA 20166
Phone (571) 631-7488

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942378948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "SUITE 350",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-430-6211",
            "fax_number": "703-430-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "SUITE 350",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-430-6211",
            "fax_number": "703-430-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOR",
        "first_name": "CARMEN",
        "middle_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101057623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5874521",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.