DR. BYRON D. POINDEXTER M.D.
NPI 1528177516
Specialist in Reston, VA

Q: What is Byron Poindexter's NPI number?

The NPI number for Byron Poindexter is 1528177516. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Byron Poindexter's specialty?

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

Q: Is Byron Poindexter enrolled in Medicare?

No. Byron Poindexter has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Byron Poindexter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 30, 2006Opted out of Medicare · through Jan 1, 2027

1825 SAMUEL MORSE DR, RESTON, VA 20190(703) 893-6168(703) 790-3444 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Byron D. Poindexter M.d. NPPES

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

DR. BYRON D. POINDEXTER M.D. (NPI 1528177516) is an individual specialist in Reston, Virginia and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1528177516

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. BYRON D. POINDEXTERCredential: M.D.

Location Address1825 SAMUEL MORSE DRReston, VA 20190-5317

Mailing Address1825 Samuel Morse DrReston, VA 20190-5317 · (703) 893-6168 · Fax (703) 790-3444

Phone(703) 893-6168

Fax(703) 790-3444

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528177516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1825 SAMUEL MORSE DR, Reston, VA 20190

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Other Identifiers 3

Medicare ID-Type Unspecified490165VA

Medicare UPING76932VA

Other463704VA · Non-par Anthem Provider #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Byron D. Poindexter M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

DR. GEORGE W. WESTON M.D.

Plastic Surgery