THE UROLOGY GROUP-GARY FIALK, MD
NPI 1295290286
Urology in Reston, VA

NPI Status: Active since February 05, 2019

Contact Information

1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA
ZIP 20190
Phone: (703) 689-3311
Fax: (703) 435-0137

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  • Organization
  • Urology
  • CLIA Number: 49D0222574
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-30-2026

About THE UROLOGY GROUP-GARY FIALK, MD

This page provides the complete NPI Profile along with additional information for The Urology Group-gary Fialk, Md, a provider established in Reston, Virginia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1295290286 assigned on February 2019. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The Urology Group-gary Fialk, Md operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as The Urology Group-gary Fialk, Md. The authorized official of this NPI record is Mary Beth Tamasy (Ceo)

NPI
1295290286
Provider Legal Name
LOUDOUN MEDICAL GROUP, PC
Other Organization Name
THE UROLOGY GROUP-GARY FIALK, MD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1860 TOWN CENTER DRIVE, SUITE 150 RESTON, VA 20190
Location Phone
(703) 689-3311
Location Fax
(703) 435-0137
Mailing Address
224-D CORNWALL STREET, NW, SUITE 403 LEESBURG, VA 20176
Mailing Phone
(703) 737-6010
Mailing Fax
(703) 435-0137
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-05-2019
Last Update Date
08-18-2023
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MARY BETH TAMASY

Authorized Official Title
CEO
Authorized Official Phone
(703) 737-6010

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
49D0222574
Facility Type
Physician Office
Certificate Effective Date
December 01, 2024
Certificate Expiration Date
November 30, 2026
Laboratory Director
KINNARI R. KENNEDY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to The Urology Group-gary Fialk, Md 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.
1295290286
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185490216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 4 + 9 + 0 + 2 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1295290286 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730203142LOUDOUN MEDICAL GROUP, PC
Organization
Urology1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA 20190
(703) 480-0230
1396429221MS. LISSET VANESSA JARQUIN PA
Individual
Physician Assistant1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA 20190
(703) 480-0220
1750376539 NICHOLAS GEORGE LAILAS MD
Individual
Urology1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA 20190
(703) 480-0220
1861621450 MONA MISTRY PT
Individual
Physical Therapist1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA 20190
(703) 480-0220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295290286, enumerated in the NPI registry as an "organization" on February 05, 2019

The provider is located at 1860 Town Center Drive, Suite 150 Reston, Va 20190 and the phone number is (703) 689-3311

This medical organization specializes in Urology with taxonomy code 208800000X

The provider's CLIA number is 49D0222574 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 February 05, 2019. 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].
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