GUY DAVID PROSPER MD
NPI 1164827762
Pediatrics in Falls Church, VA
About Guy David Prosper Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUY DAVID PROSPER MD (NPI 1164827762) is an individual pediatrics provider in Falls Church, Virginia, licensed in Virginia (0101260176) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Guy David Prosper Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Guy Prosper reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 2,618 clinicians in this Medicare group
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
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 Guy Prosper's NPI number?
The NPI number for Guy Prosper is 1164827762. It was assigned to this individual provider in the NPPES registry on October 27, 2014.
Where is Guy Prosper located?
Guy Prosper practices at 6565 Arlington Blvd Ste 210, Falls Church, VA 22042. The listed phone number is (703) 534-1000.
What is Guy Prosper's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Guy Prosper enrolled in Medicare?
Yes. Guy Prosper is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Guy Prosper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Guy Prosper reassigns Medicare benefits to 3 organizations: Inova Health Care Services (Falls Church, VA), University Of Maryland Community Medical Group, Inc. (La Plata, MD) and Baltimore Washington Emergency Physicians, Inc. (Glen Burnie, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guy Prosper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Guy Prosper accept?
Health plans from Oscar Health list Guy Prosper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Guy Prosper was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Guy David Prosper, MD · NPI 1164827762
Pediatrics physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since October 27, 2014.
## Identity
- **NPI:** 1164827762 (Entity type: Individual)
- **Enumerated:** October 27, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 0101260176 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6565 ARLINGTON BLVD STE 210, Falls Church, VA 22042-3000
- **Phone:** (703) 534-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Inova Health Care Services (NPI 1952320061, Falls Church, VA); University Of Maryland Community Medical Group, Inc. (NPI 1679393854, La Plata, MD); Baltimore Washington Emergency Physicians, Inc. (NPI 1215983853, Glen Burnie, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164827762) · Data from the CMS NPPES public registry.