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ALAN ERIC BENHEIM M.D.
NPI 1750369351
Pediatrics - Pediatric Cardiology in Fairfax, VA

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
8260 WILLOW OAKS CORPORATE DR STE 400, FAIRFAX, VA 22031(703) 573-0504(703) 573-4856 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Apr 27, 2022, Jul 5, 2017 (3 updates tracked since 2017).

About Alan Eric Benheim M.d. NPPES

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

ALAN ERIC BENHEIM M.D. (NPI 1750369351) is an individual pediatric cardiology provider in Fairfax, Virginia, licensed in Virginia (0101049505) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Georgetown University School Of Medicine (1987).

NPPES Registry Identity

NPI1750369351
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameALAN ERIC BENHEIMCredential: M.D.
Location Address8260 WILLOW OAKS CORPORATE DR STE 400Fairfax, VA 22031-4513
Mailing Address8500 Executive Park Ave Ste 110Fairfax, VA 22031-2228 · (703) 573-0504 · Fax (703) 573-4856
Phone(703) 573-0504
Fax(703) 573-4856
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1987
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1750369351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in VA · 0101049505
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
8260 WILLOW OAKS CORPORATE DR STE 400, Fairfax, VA 22031
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-4001 · Fax (703) 776-7113
Location 28500 Executive Park Ave Ste 110Fairfax, VA 22031-2228 · Phone (703) 573-0504 · Fax (703) 573-4856

Other Identifiers 1

Medicaid006721028VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alan Eric Benheim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294721098
PECOS Enrollment IDI20040426000097, I20171023001072
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alan Benheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services
0.5 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1588717755 (Virginia)
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Nmg Affiliate Practice I, LLC
11 mi
Emergency Medicine
6208 MULTIPLEX DR, SUITE 150
Centreville, VA 20121
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Uva Community Health Medical Group LLC
  • 584 clinicians in this Medicare group
NPI 1881046993 (703) 366-2590

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

KRISTEN ELIZABETH BARBIERI PA-C
Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
KINJAL PARIKH MD
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
DR. HARISH SITARAM RUDRA D.O.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
SHERIF S TAWFIK M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
JENNIFER H LINDSEY M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
MARC DELANEY MD
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
DR. HIRAL SHAH MD
Pediatrics
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
PATRICK F CALLAHAN M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504

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 Alan Benheim's NPI number?

The NPI number for Alan Benheim is 1750369351. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Alan Benheim located?

Alan Benheim practices at 8260 Willow Oaks Corporate Dr Ste 400, Fairfax, VA 22031. The listed phone number is (703) 573-0504.

What is Alan Benheim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Alan Benheim enrolled in Medicare?

Yes. Alan Benheim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alan Benheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Benheim reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Nmg Affiliate Practice I, LLC (Centreville, VA). 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 Alan Benheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alan Benheim accept?

Health plans from Oscar Health list Alan Benheim 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 Alan Benheim was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.