MARK P. TANENBAUM M.D. – NPI #1114929247
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

MARK TANENBAUM is a physician located in FAIRFAX, VA. NPPES has assigned the NPI number 1114929247 to MARK TANENBAUM on June 01, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Aug 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK TANENBAUM below.

NPI Profile for
MARK P. TANENBAUM

NPI Number
1114929247
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK P. TANENBAUM
Credentials
M.D.
Primary location
3580 JOSEPH SIEWICK DR STE 305
FAIRFAX, VA 22033-1764
Phone: (703) 648-3266 Fax: (703) 648-3264
1 Other location(s):
4825 Mark Center Dr Ste 150
Alexandria, VA 22311-1846
Phone: (703) 751-8111
Fax: (703) 751-1105
Mailing address
2901 TELESTAR CT.
#300
FALLS CHURCH, VA 22042-1263
Phone: (703) 591-1688 Fax: (703) 591-1445
Sole Proprietor
No
Updated
Certification Date
Aug 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARK TANENBAUM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARE DC #DC060035106
OTHERRAILROAD MEDICARE VA #VA060062627
MEDICAIDDC031738500
MEDICAIDMD121300800
MEDICAIDVA1114929247
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 VA 0101043105

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3580 JOSEPH SIEWICK DR STE 305,
FAIRFAX, VA 77025-1669

Additional Information

Education
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE - Graduated 1986
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK TANENBAUM is affiliated with the following medical group(s):
  • HOSPITAL
    • INOVA ALEXANDRIA HOSPITAL
      4320 SEMINARY RD
      ALEXANDRIA, VA 22304
    • INOVA FAIR OAKS HOSPITAL
      3600 JOSEPH SIEWICK DRIVE
      FAIRFAX, VA 22033
    • INOVA FAIRFAX HOSPITAL
      3300 GALLOWS ROAD
      FALLS CHURCH, VA 22042
    • INOVA LOUDOUN HOSPITAL
      44045 RIVERSIDE PARKWAY
      LEESBURG, VA 20176
    • NOVANT HEALTH UVA HEALTH HAYMARKET MEDICAL CENTER
      15225 HEALTHCOTE BOULEVARD
      HAYMARKET, VA 20169

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.