Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Anne M Nickodem, MD

Individual provider Plastic Surgery Physician · NPI 1487826491

Dr. Anne M Nickodem, MD is a Plastic and Reconstructive Surgery in Vienna, Virginia. Graduated from Georgetown University School of Medicine in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
42
Trained at
Georgetown University School of Medicine
Licensed in
WV
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8229 Boone Blvd Ste 365
Vienna, VA 22182-2623
Phone: (703) 560-8711
Fax: (703) 552-2015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 0101047333 (WV)

Record details

NPI number1487826491
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2008
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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