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FAIRFAX COLON & RECTAL SURGERY, PC
NPI 1427169507
Specialist in Fairfax, VA

Active since August 31, 2006
2710 PROPERSITY AVE, STE 200, FAIRFAX, VA 22031(703) 280-2841(703) 650-2322 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fairfax Colon & Rectal Surgery, Pc NPPES

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

FAIRFAX COLON & RECTAL SURGERY, PC (NPI 1427169507) is a healthcare organization registered as a specialist in Fairfax, Virginia and active in the NPI registry since August 2006. The organization lists Michael Delac, Administrator, as its authorized official.

NPPES Registry Identity

NPI1427169507
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAIRFAX COLON & RECTAL SURGERY, PC
Location Address2710 PROPERSITY AVE, STE 200Fairfax, VA 22031
Mailing Address2710 Propersity Ave, Ste 200Fairfax, VA 22031 · (703) 280-2841 · Fax (703) 650-2322
Phone(703) 280-2841
Fax(703) 650-2322
Organization SubpartNo
Authorized OfficialMichael DelacAdministrator · (703) 650-2333
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 6, 2013
✔ NPI 1427169507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
2710 PROPERSITY AVE, Fairfax, VA 22031
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairfax Colon & Rectal Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Fairfax Colon & Rectal Surgery, PC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Colorectal Surgery (Proctology)11
Anesthesiology6
Nurse Practitioner3

Clinicians, nearest first (20)

Donald Colvin, M.D.
Colorectal Surgery (Proctology)
NPI 1154312759
2710 PROPERSITY AVENUE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOSSame address
Kimberly Matzie, MD
Colorectal Surgery (Proctology)
NPI 1861579898
2710 PROSPERITY AVE SUITE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOS✔ Accepts MedicareSame address
Christina Cheng, M.D.
Colorectal Surgery (Proctology)
NPI 1497092944
2710 PROSPERITY AVE STE 200
Fairfax, VA 22031
(703) 650-2333
✔ PECOS✔ Accepts MedicareSame address
Anna Kata
Colorectal Surgery (Proctology)
NPI 1821483629
2710 PROSPERITY AVE STE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOS✔ Accepts MedicareSame address
Katherine Khalifeh, MD
Colorectal Surgery (Proctology)
NPI 1043356843
2710 PROSPERITY AVE SUITE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOS✔ Accepts MedicareSame address
Rebekah Kim, M.D.
Colorectal Surgery (Proctology)
NPI 1841510534
2710 PROSPERITY AVE STE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOS✔ Accepts MedicareSame address
Timothy Plerhoples, M.D.
Colorectal Surgery (Proctology)
NPI 1639353329
2710 PROSPERITY AVE STE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOS✔ Accepts MedicareSame address
Caroline Sanchez, M.D.
Colorectal Surgery (Proctology)
NPI 1558536789
2710 PROSPERITY AVE SUITE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOS✔ Accepts MedicareSame address
John Tillou, MD
Colorectal Surgery (Proctology)
NPI 1518232685
2710 PROSPERITY AVE STE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOS✔ Accepts MedicareSame address
Marisa Wong, FNP
Nurse Practitioner
NPI 1649906454
2710 PROSPERITY AVE STE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOSSame address
Sydney Beache, MD
Colorectal Surgery (Proctology)
NPI 1962997825
2710 PROSPERITY AVE STE 200
Fairfax, VA 22031
(443) 717-0961
✔ PECOSSame address
Shana Gliem, FNP
Nurse Practitioner
NPI 1831506948
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOS✔ Accepts Medicare1.5 mi
Lawrence Stern, M.D.
Colorectal Surgery (Proctology)
NPI 1790776417
2710 PROPERSITY AVENUE 200
Fairfax, VA 22031
(703) 280-2841
✔ PECOS✔ Accepts Medicare1.8 mi
Prasadarao Velugubanti, M.D
Anesthesiology
NPI 1477584910
8230 LEESBURG PIKE STE 630
Vienna, VA 22182
(703) 861-9404
✔ PECOS✔ Accepts Medicare2.8 mi
Linda Myers, MD
Anesthesiology
NPI 1609960293
1407 RITTENHOUSE ST NW
Washington, DC 20011
(202) 291-5969
✔ PECOS12 mi
Navin Kadambi, MD
Anesthesiology
NPI 1396908331
1500 FOREST GLEN RD
Silver Springs, MD 20910
(301) 942-8799
✔ PECOS✔ Accepts Medicare14 mi
Lawrence Fowler, M.D.
Anesthesiology
NPI 1598734873
19455 DEERFIELD AVE STE 212
Lansdowne, VA 20176
(703) 723-3670
✔ PECOS✔ Accepts Medicare19 mi
Jennifer Teifer, M.D.
Anesthesiology
NPI 1639263866
7503 SURRATTS RD
Clinton, MD 20735
(301) 870-7001
✔ PECOS✔ Accepts Medicare21 mi
Sanford Schaps, M.D
Anesthesiology
NPI 1558382127
4103 LAFAYETTE BLVD
Fredericksburg, VA 22408
(703) 656-2380
✔ PECOS✔ Accepts Medicare45 mi
Cecilia Lynn, MSN, RN, FNP-BC
Nurse Practitioner
NPI 1417321936
1101 MADISON ST FIRST HILL CAMPUS, SUITE 510
Seattle, WA 98104
(206) 386-6600
✔ PECOS✔ Accepts Medicare2,319 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fairfax Colon & Rectal Surgery, PC's NPI number?

The NPI number for Fairfax Colon & Rectal Surgery, PC is 1427169507. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Fairfax Colon & Rectal Surgery, PC located?

Fairfax Colon & Rectal Surgery, PC is located at 2710 Propersity Ave Ste 200, Fairfax, VA 22031. The listed phone number is (703) 280-2841.

What is Fairfax Colon & Rectal Surgery, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Fairfax Colon & Rectal Surgery, PC enrolled in Medicare?

Yes. Fairfax Colon & Rectal Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairfax Colon & Rectal Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to Fairfax Colon & Rectal Surgery, PC. A 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 the clinician's services. The largest specialties are Colorectal Surgery (Proctology) (11), Anesthesiology (6) and Nurse Practitioner (3). Of these, 11 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fairfax Colon & Rectal Surgery, PC was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.