DR. SOOYOUNG VANDEMARK MD
NPI 1164319042
Family Medicine in Fairfax, VA

Q: What is Sooyoung Vandemark's NPI number?

The NPI number for Sooyoung Vandemark is 1164319042. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Q: What is Sooyoung Vandemark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 23, 2025PECOS Enrolled

3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033(703) 391-2020(703) 264-9861 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Sooyoung Vandemark Md NPPES

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

DR. SOOYOUNG VANDEMARK MD (NPI 1164319042) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0116041169) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164319042

Entity TypeIndividual

Primary Taxonomy207Q00000X

Provider Legal NameDR. SOOYOUNG VANDEMARKCredential: MD

Location Address3650 JOSEPH SIEWICK DR STE 400Fairfax, VA 22033-1715

Mailing Address3650 Joseph Siewick Dr Ste 400Fairfax, VA 22033-1715 · (703) 391-2020 · Fax (703) 264-9861

Phone(703) 391-2020

Fax(703) 264-9861

Sole ProprietorNo

Enumeration DateJune 23, 2025

NPPES CertifiedJune 23, 2025

✔ NPI 1164319042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0116041169

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3650 JOSEPH SIEWICK DR STE 400, Fairfax, VA 22033

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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. Sooyoung Vandemark Md 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 22033 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

$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.

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.

JUSTIN CROSS M.D.

Family Medicine