Anne M. Nickodem, MD PC
Anne M. Nickodem, MD PC is a healthcare organization registered as Plastic Surgery Physician in Vienna, VA, holding Type 2 (organization) NPI 1205916871 since 2006. The authorized official on file is Anne Nickodem, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205916871 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Anne M. Nickodem, MD PC |
| Practice address | 8229 BOONE BLVD STE 365, Vienna, VA, 22182 |
| Phone | 7035608711 |
| Fax | 7035608725 |
| Enumeration date | 2006-10-17 |
| Last updated in NPPES | 2025-06-16 |
Authorized official
| Name | Anne Nickodem |
|---|---|
| Title | President |
| Phone | 7035608711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208200000X | Plastic Surgery Physician | Primary | 0101047333 | VA |
Copy-ready billing details
Provider: Anne M. Nickodem, MD PC NPI: 1205916871 Taxonomy: 208200000X (Plastic Surgery Physician) Address: 8229 BOONE BLVD STE 365, Vienna, VA, 22182
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487826491 | Anne Nickodem | Individual | Plastic Surgery Physician | Vienna, VA |
Verify this record
Cross-check NPI 1205916871 against the authoritative CMS record: view Anne M. Nickodem, MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Anne M. Nickodem, MD PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-16.