SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
NPI 1114157054
Surgery in Dulles, VA

NPI Status: Active since July 24, 2009

Contact Information

24430 STONE SPRINGS BLVD
DULLES, VA
ZIP 20166
Phone: (703) 665-2430

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  • Organization
  • Surgery
  • CLIA Number: 49D2148161
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-03-2026

About SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC

This page provides the complete NPI Profile along with additional information for Specialty Physicians Of Northern Virginia, Llc, a provider established in Dulles, Virginia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1114157054 assigned on July 2009. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Louis Joseph (Vp)

NPI
1114157054
Provider Name
SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
Entity Type
Organization
Location Address
24430 STONE SPRINGS BLVD DULLES, VA 20166
Location Phone
(703) 665-2430
Mailing Address
2000 HEALTH PARK DR BRENTWOOD, TN 37027
Mailing Phone
(615) 373-7600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-24-2009
Last Update Date
01-02-2023
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A surgeon like Specialty Physicians Of Northern Virginia, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LOUIS JOSEPH

Authorized Official Title
VP
Authorized Official Phone
(615) 373-7630

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1114157054MEDICAID (05)VA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2148161
Facility Type
Physician Office
Certificate Effective Date
May 04, 2024
Certificate Expiration Date
May 03, 2026
Laboratory Director
MARGARET P. BRANDQUIST
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Specialty Physicians Of Northern Virginia, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114157054
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21242514010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 2 + 5 + 1 + 4 + 0 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1114157054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871645317DR. DEBORAH BOWERS MD
Individual
Obstetrics & Gynecology24430 STONE SPRINGS BLVD STE 550
DULLES, VA 20166
(703) 957-1245
1326595901THE CARDIOVASCULAR GROUP, PC
Organization
Internal Medicine (Cardiovascular Disease)24430 STONE SPRINGS BLVD #425
DULLES, VA 20166
(703) 722-5860
1043752272LOUDOUN MEDICAL GROUP, PC
Organization
Pediatrics24430 STONE SPRINGS BLVD SUITE 115
DULLES, VA 20166
(703) 957-1247
1629520531LOUDOUN MEDICAL GROUP, PC
Organization
Family Medicine24430 STONE SPRINGS BLVD SUITE 135
DULLES, VA 20166
(703) 957-1255
1215693411LOUDOUN MEDICAL GROUP, PC
Organization
Surgery24430 STONE SPRINGS BLVD SUITE 100
DULLES, VA 20166
(703) 858-3200
1376085407LOUDOUN MEDICAL GROUP, PC
Organization
Specialist24430 STONE SPRINGS BLVD SUITE 100
DULLES, VA 20166
(703) 858-3208
1477096352LOUDOUN MEDICAL GROUP, PC
Organization
Specialist24430 STONE SPRINGS BLVD SUITE 100
DULLES, VA 20166
(703) 723-3398
1588106710LOUDOUN MEDICAL GROUP, PC
Organization
Internal Medicine (Hematology & Oncology)24430 STONE SPRINGS BLVD SUITE 515
DULLES, VA 20166
(703) 858-3110
1598113730LOUDOUN MEDICAL GROUP, PC
Organization
Internal Medicine24430 STONE SPRINGS BLVD SUITE 250
DULLES, VA 20166
(703) 858-3220
1629510748LOUDOUN MEDICAL GROUP, PC
Organization
Internal Medicine (Infectious Disease)24430 STONE SPRINGS BLVD SUITE 100
DULLES, VA 20166
(703) 737-6012
1679018550LOUDOUN MEDICAL GROUP, PC
Organization
Specialist24430 STONE SPRINGS BLVD SUITE 100
DULLES, VA 20166
(703) 723-6774
1750828703LOUDOUN MEDICAL GROUP, PC
Organization
Specialist24430 STONE SPRINGS BLVD
DULLES, VA 20166
(703) 737-6012
1831636786LOUDOUN MEDICAL GROUP, PC
Organization
Specialist24430 STONE SPRINGS BLVD SUITE 100
DULLES, VA 20166
(703) 723-3398
1912449042LOUDOUN MEDICAL GROUP, PC
Organization
Specialist24430 STONE SPRINGS BLVD SUITE 100
DULLES, VA 20166
(703) 777-3262
1932646213LOUDOUN MEDICAL GROUP, PC
Organization
Specialist24430 STONE SPRINGS BLVD SUITE 100
DULLES, VA 20166
(703) 737-6012
1962850107LOUDOUN MEDICAL GROUP, PC
Organization
Internal Medicine24430 STONE SPRINGS BLVD SUITE 250
DULLES, VA 20166
(703) 404-5900
1033720487 DANAH JAGUETA BALMACEDA NURSE PRACTITIONER
Individual
Nurse Practitioner (Critical Care Medicine)24430 STONE SPRINGS BLVD
DULLES, VA 20166
(571) 439-4000
1083609580 MARGARET JEANNE BRANDQUIST CNM
Individual
Advanced Practice Midwife24430 STONE SPRINGS BLVD SUITE 550
DULLES, VA 20166
(703) 957-1245
1659728889LOUDOUN MEDICAL GROUP, PC
Organization
Urology24430 STONE SPRINGS BLVD SUITE 545
DULLES, VA 20166
(703) 957-1022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114157054, enumerated in the NPI registry as an "organization" on July 24, 2009

The provider is located at 24430 Stone Springs Blvd Dulles, Va 20166 and the phone number is (703) 665-2430

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 49D2148161 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on July 24, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.