Loudoun Community Health Center

A Medicare group practice based in Herndon, VA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 5193822930), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193822930The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
DC, VA
Enrollments
7
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 4 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20070514000106 VA Part B Supplier - Clinic/Group Practice 1629109806
O20080801000148 VA Part A Provider - Federally Qualified Health Center (FQHC) 1629109806
O20250530003220 VA Part A Provider - Federally Qualified Health Center (FQHC) 1144736901
O20250506003076 VA Part A Provider - Federally Qualified Health Center (FQHC) 1396489753
O20221212001281 DC Part B Supplier - Clinic/Group Practice 1396489753
O20190919003271 VA Part A Provider - Federally Qualified Health Center (FQHC) 1174086938
O20121022000521 VA Part A Provider - Federally Qualified Health Center (FQHC) 1629325758

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (11).

Sources for this page