MR. MARK EMANUEL VASILIADIS (M.D.) – Family Medicine Physician, NPI 1639241771

MR. MARK EMANUEL VASILIADIS (M.D.) is a healthcare provider. based in Reston, Virginia. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 0101050406 (VA). The NPI Number for MR. MARK EMANUEL VASILIADIS (M.D.) is 1639241771

Main info

Male
Name
MR. MARK EMANUEL VASILIADIS (M.D.)
NPI
1639241771
Phone
(703) 230-0347
Address
12040 S LAKES DR STE 204
Enumeration Date
14 November 2006
Last Update Date
25 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. MARK EMANUEL VASILIADIS (M.D.)

  • 12040 S LAKES DR STE 204

    RESTON, VA 201911236

    Phone: (703) 230-0347

    Fax: (703) 230-0350

    Type: Mailing

  • 12040, South Lakes Drive, Reston, Fairfax (city), Virginia, 20191, United States

    SUITE 195

    RESTON, VA 201911246

    Phone: (703) 230-0347

    Type: Location

  • 909, Challedon Road, Hickory Creek, Great Falls Crossing, Fairfax County, Virginia, 22066, United States

    GREAT FALLS, VA 220661727

    Phone: (703) 759-7717

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20191)

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Reviews

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Frequently asked questions

How do payers reference MR. MARK EMANUEL VASILIADIS (M.D.)?
For MR. MARK EMANUEL VASILIADIS (M.D.), use NPI 1639241771 as the unique 10-digit identifier.
Would MR. MARK EMANUEL VASILIADIS (M.D.) appear as active to a payer?
You can treat MR. MARK EMANUEL VASILIADIS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. MARK EMANUEL VASILIADIS (M.D.)?
MR. MARK EMANUEL VASILIADIS (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MR. MARK EMANUEL VASILIADIS (M.D.) associated with Reston?
Public fields place MR. MARK EMANUEL VASILIADIS (M.D.) around Reston, Virginia. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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