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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SYDNEY BEACHE MD
NPI 1962997825
Colon & Rectal Surgery in Fairfax, VA

Active since June 24, 2018PECOS Enrolled
2710 PROSPERITY AVE STE 200, FAIRFAX, VA 22031(443) 717-0961 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2026, Jun 24, 2018 (2 updates tracked since 2018).

About Sydney Beache Md NPPES

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

SYDNEY BEACHE MD (NPI 1962997825) is an individual colon & rectal surgery provider in Fairfax, Virginia, licensed in Virginia (0101290498) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962997825
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameSYDNEY BEACHECredential: MD
Location Address2710 PROSPERITY AVE STE 200Fairfax, VA 22031-4358
Mailing Address2710 Prosperity Ave Ste 200Fairfax, VA 22031-4358 · (443) 717-0961
Phone(443) 717-0961
Sole ProprietorNo
Enumeration DateJune 24, 2018
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1962997825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in VA · 0101290498
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
2710 PROSPERITY AVE STE 200, Fairfax, VA 22031
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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)

Sydney Beache 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 22031 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 8

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

FAIRFAX COLON & RECTAL SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
ALEXANDRA NICOLE MINUTILLO
Physician Assistant (Medical)
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
DR. CHRISTINA CHENG M.D.
Colon & Rectal Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 650-2333
DR. TIMOTHY ANDREAS PLERHOPLES M.D.
Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
MARISA WONG FNP
Nurse Practitioner (Family)
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
CATHERINE GRACE ENGIBOUS HOLDER PA-C
Physician Assistant (Surgical)
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
ANNA KATA
Colon & Rectal Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
DR. REBEKAH KIM M.D.
Colon & Rectal Surgery
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841

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 Sydney Beache's NPI number?

The NPI number for Sydney Beache is 1962997825. It was assigned to this individual provider in the NPPES registry on June 24, 2018.

Where is Sydney Beache located?

Sydney Beache practices at 2710 Prosperity Ave Ste 200, Fairfax, VA 22031. The listed phone number is (443) 717-0961.

What is Sydney Beache's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Sydney Beache enrolled in Medicare?

Yes. Sydney Beache is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sydney Beache was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.