MARK GOLUB DDS
NPI 1093196263
Dentist in Alexandria, VA

Active since June 14, 2015Opted out of Medicare · through Jul 11, 2027
1451 BELLE HAVEN RD, SUITE 340, ALEXANDRIA, VA 22307(703) 765-3366 Get Directions Write a Review

NPPES record last updated: June 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Golub Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK GOLUB DDS (NPI 1093196263) is an individual dentist in Alexandria, Virginia, licensed in Virginia (401005546) and active in the NPI registry since June 2015. He has opted out of Medicare through July 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093196263
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK GOLUBCredential: DDS
Location Address1451 BELLE HAVEN RD, SUITE 340Alexandria, VA 22307-1201
Mailing Address1451 Belle Haven Rd, Suite 340Alexandria, VA 22307-1201 · (703) 765-3366
Sole ProprietorNo
Enumeration DateJune 14, 2015
NPI 1093196263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 401005546
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1451 BELLE HAVEN RD, Alexandria, VA 22307

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mark Golub Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 11, 2015 through July 11, 2027.

Opt-Out Effective DateJuly 11, 2015
Opt-Out In Effect ThroughJuly 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
1451 BELLE HAVEN RD, STE 110
ALEXANDRIA, VA 22307
Dentist (General Practice)
1451 BELLE HAVEN RD, SUITE 340
ALEXANDRIA, VA 22307
Pediatrics
1451 BELLE HAVEN RD
ALEXANDRIA, VA 22307
Chiropractor
1451 BELLE HAVEN RD, SUITE 330
ALEXANDRIA, VA 22307
Dentist (Oral and Maxillofacial Surgery)
1451 BELLE HAVEN RD
ALEXANDRIA, VA 22307
Pediatrics
1451 BELLE HAVEN RD, SUITE 110
ALEXANDRIA, VA 22307
Dentist (Oral and Maxillofacial Surgery)
1451 BELLE HAVEN RD
ALEXANDRIA, VA 22307
Pediatrics
1451 BELLE HAVEN RD
ALEXANDRIA, VA 22307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Golub's NPI number?

The NPI number for Mark Golub is 1093196263. It was assigned to this individual provider in the NPPES registry on June 14, 2015.

Where is Mark Golub located?

Mark Golub practices at 1451 Belle Haven Rd Suite 340, Alexandria, VA 22307. The listed phone number is (703) 765-3366.

What is Mark Golub's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Golub enrolled in Medicare?

No. Mark Golub has opted out of Medicare through July 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Golub was last updated on June 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.