MEDICARE: DR. VINCENT J VILASI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	D74826	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	050053985	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K142-0001	OTHER	DC	CAREFIRST
2	071322	OTHER	VA	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	297170	OTHER	VA	AMERIGROUP
5	493821	OTHER	VA	NCPPO

General Provider Information

NPI Number	:	1205853728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINCENT J VILASI M.D.

Provider Business Mailing Address
First Line	:	1800 JONATHAN WAY APT 407
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20190-3678
Country	:	US
Telephone Number	:	703-980-4187
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1460
Country	:	US
Telephone Number	:	703-980-4187
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/30/2025

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