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DR. JEREMY MITNICK MD
NPI 1639853625
Surgery in Falls Church, VA

Active since June 12, 2023PECOS Enrolled
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy Mitnick Md NPPES

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

DR. JEREMY MITNICK MD (NPI 1639853625) is an individual surgery provider in Falls Church, Virginia, licensed in Virginia (116037983) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639853625
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JEREMY MITNICKCredential: MD
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address4650 Washington Blvd Apt 811Arlington, VA 22201-5745 · (646) 912-5172
Phone(703) 776-4001
Sole ProprietorNo
Enumeration DateJune 12, 2023
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1639853625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in VA · 116037983✔ Licensed in VA · 0116037983
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3300 GALLOWS RD, Falls Church, VA 22042
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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. Jeremy Mitnick 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 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.

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
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

ALLISON ELIZABETH TWEEDIE MD
Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
DR. OLEG DOLGHI M.D
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
MRS. CHERYL ANNE FRASER NP
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4132
MISS CRYSTAL FALKE PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3281
EMERGENCY MEDICINE ASSOCIATES
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4002
NARGES NAJMYAR PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 970-2670
SARAH MARAKOS DO
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-6652
KARA STONE YOUNG CRNA
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001

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 Jeremy Mitnick's NPI number?

The NPI number for Jeremy Mitnick is 1639853625. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Jeremy Mitnick located?

Jeremy Mitnick practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-4001.

What is Jeremy Mitnick's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jeremy Mitnick enrolled in Medicare?

Yes. Jeremy Mitnick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Mitnick was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.