DAVID PANBOON APA-C
NPI 1255515573
Physician Assistant - Medical in Fairfax, VA

Q: What is David Panboon's NPI number?

The NPI number for David Panboon is 1255515573. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Q: What is David Panboon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for David Panboon was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 21, 2007PECOS Enrolled

4375 FAIR LAKES CT, FAIRFAX, VA 22033(571) 432-2600 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Nov 18, 2021, Apr 19, 2018 (3 updates tracked since 2018).

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About David Panboon Apa-c NPPES

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

DAVID PANBOON APA-C (NPI 1255515573) is an individual medical provider in Fairfax, Virginia and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255515573

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDAVID PANBOONCredential: APA-C

Location Address4375 FAIR LAKES CTFairfax, VA 22033-4234

Mailing Address7848 Butterfield LnAnnandale, VA 22003-1548 · (210) 428-5528

Phone(571) 432-2600

Sole ProprietorNo

Enumeration DateDecember 21, 2007

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1255515573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

4375 FAIR LAKES CT, 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)

David Panboon Apa-c 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.

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.

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