MARK P. TANENBAUM (M.D.) – Cardiovascular Disease Physician, NPI 1114929247

MARK P. TANENBAUM (M.D.) is a healthcare provider. based in Alexandria, Virginia. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 0101043105 (VA). The NPI Number for MARK P. TANENBAUM (M.D.) is 1114929247

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MARK P. TANENBAUM (M.D.)
NPI
1114929247
Phone
(703) 751-8111
Address
4660 KENMORE AVE STE 1200
Enumeration Date
1 June 2005
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7037518111
Graduation Year
1986 (40 years ago)
PAC ID
1850387911
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20040423000100
Address ID
VA223111846AL4825XDRXX401
Telehealth
Yes

Contacts

Secure Messaging
mtanenbaum26312@soc.inova.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

4,930 INTERNAL MEDICINE in VA

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Provider Addresses for MARK P. TANENBAUM (M.D.)

  • Kenmore Avenue, John Adams, Fort Ward Heights, Alexandria, Virginia, 22350, United States

    ALEXANDRIA, VA 223041311

    Phone: (703) 751-8111

    Fax: (703) 751-1105

    Type: Location

  • 2901 TELESTAR CT.

    #300

    FALLS CHURCH, VA 220421263

    Phone: (703) 591-1688

    Fax: (703) 591-1445

    Type: Mailing

  • 4825 Mark Center Dr Ste 150

    Alexandria, VA 223111846

    Phone: (703) 751-8111

    Fax: (703) 751-1105

    Type: Location

  • 3580 JOSEPH SIEWICK DR STE 305

    FAIRFAX, VA 220331764

    Phone: (703) 648-3266

    Fax: (703) 648-3264

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $342.

Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Medtronic, Inc. ($111).

Total Amount

$342

General + Research + Ownership

Payments

13

Total payment records

General Amount

$342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040423000100ICardiovascular Disease (Cardiology)DCTBD
I20100301000440ICardiovascular Disease (Cardiology)VATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes782624$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report537522$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only402349$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function305305$0
99204New patient office or other outpatient visit, 45-59 minutes102102$0
View full utilization report →

Insurance plans in this area (ZIP 22304)

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Provider's Procedures

MARK P. TANENBAUM (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)VA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report746638

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466351093View full group profile

Reviews

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Frequently asked questions

What is MARK P. TANENBAUM (M.D.)'s NPI number?
MARK P. TANENBAUM (M.D.)'s NPI is 1114929247 — the number used across U.S. healthcare to identify this provider.
Would MARK P. TANENBAUM (M.D.) appear as active to a payer?
You can treat MARK P. TANENBAUM (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MARK P. TANENBAUM (M.D.)?
MARK P. TANENBAUM (M.D.)'s record emphasizes Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is MARK P. TANENBAUM (M.D.) located near Alexandria?
MARK P. TANENBAUM (M.D.) currently maps to Alexandria, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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