Healthcare Provider Details

I. General information

NPI: 1467444984
Provider Name (Legal Business Name): JOHN I. PI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10675 OAKTON RIDGE CT
OAKTON VA
22124-1644
US

IV. Provider business mailing address

9760 HATMARK CT
VIENNA VA
22181-6059
US

V. Phone/Fax

Practice location:
  • Phone: 240-506-4336
  • Fax:
Mailing address:
  • Phone: 310-420-7258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.070203
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD84232
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG77118
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101248320
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number0101248320
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number0101248320
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code209800000X
TaxonomyLegal Medicine (M.D./D.O.) Physician
License Number0101248320
License Number StateVA
# 8
Primary TaxonomyN
Taxonomy Code209800000X
TaxonomyLegal Medicine (M.D./D.O.) Physician
License NumberG77118
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number0101248320
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: