DR. OTTO LOUIS-JACQUES M.D.
NPI 1124094933
Pediatrics - Pediatric Gastroenterology in Fairfax, VA

Q: What is Otto Louis-jacques's NPI number?

The NPI number for Otto Louis-jacques is 1124094933. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Otto Louis-jacques's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Active since February 23, 2006PECOS Enrolled

3022 WILLIAMS DR, SUITE 301, FAIRFAX, VA 22031(703) 698-1775(703) 641-8427 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Otto Louis-jacques M.d. NPPES

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

DR. OTTO LOUIS-JACQUES M.D. (NPI 1124094933) is an individual pediatric gastroenterology provider in Fairfax, Virginia, licensed in Virginia (0101233886) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124094933

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameDR. OTTO LOUIS-JACQUESCredential: M.D.

Location Address3022 WILLIAMS DR, SUITE 301Fairfax, VA 22031-4600

Mailing Address3022 Williams Dr, Suite 301Fairfax, VA 22031-4600 · (703) 698-1775 · Fax (703) 641-8427

Phone(703) 698-1775

Fax(703) 641-8427

Sole ProprietorNo

Enumeration DateFebruary 23, 2006

Last NPPES UpdateMarch 25, 2016

✔ NPI 1124094933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in VA · 0101233886

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

3022 WILLIAMS DR, Fairfax, VA 22031

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Other Identifiers 3

Medicare UPINF81508

Medicare ID-Type Unspecified010975G74

Medicaid6738052VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Otto Louis-jacques M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

JACK WILDER

Behavior Technician

3022 WILLIAMS DR
FAIRFAX, VA 22031

Fairfax County (866) 727-8274

JULIANNE GREENBERG M.D.

Specialist

3022 WILLIAMS DR, STE 204
FAIRFAX, VA 22031

Fairfax County (703) 698-8800

WASHINGTON RADIOLOGY ASSOCIATES, PLLC

Specialist

3022 WILLIAMS DR, STE 204
FAIRFAX, VA 22031

Fairfax County (703) 698-8800

MS. LAUREN FELICIA NAUGHTON P.A.

Physician Assistant (Medical)

3022 WILLIAMS DR, SUITE 300
FAIRFAX, VA 22031

Fairfax County (703) 573-9800

AUTUMN EDMONDSON

Behavior Technician

3022 WILLIAMS DR
FAIRFAX, VA 22031

Fairfax County (866) 727-8274

MS. KATHLEEN RODGERS M.A.,R.D., C.D.E.

Dietitian, Registered (Nutrition, Metabolic)

3022 WILLIAMS DR, SUITE 300
FAIRFAX, VA 22031

Fairfax County (703) 573-9800

SHERYL KONGSTVEDT PHD

Psychologist (Clinical)

3022 WILLIAMS DR, SUITE 300
FAIRFAX, VA 22031

Fairfax County (703) 573-9800

CARLTON HEMINGWAY

Behavior Technician

3022 WILLIAMS DR
FAIRFAX, VA 22031

Fairfax County (866) 727-8274

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 Otto Louis-jacques's NPI number?

The NPI number for Otto Louis-jacques is 1124094933. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Otto Louis-jacques located?

Otto Louis-jacques practices at 3022 Williams Dr Suite 301, Fairfax, VA 22031. The listed phone number is (703) 698-1775.

What is Otto Louis-jacques's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Otto Louis-jacques enrolled in Medicare?

Yes. Otto Louis-jacques is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Otto Louis-jacques was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.