Active NPI
Gastro Virginia LLC
- Gastroenterology Physician
- Fairfax, VA
National Provider Identifier
1003632373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTRO VIRGINIA LLC
- Practice address
- 12011 Route 50 Ste 506
Fairfax, VA 22033-3315 - Phone
- (484) 339-6869
- Fax
- (484) 214-9609
- NPI assigned
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zachary Jones
- Title
- Ceo
- Phone
- (207) 631-7837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
12011 Route 50 Ste 506
Fairfax, VA 22033-3315
Mailing address
7120 Minstrel Way Ste 100
Columbia, MD 21045-5274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12011 Route 50
Ste 506
Fairfax, VA 22033
Phone (484) 339-6869
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Silver Spring, MD
- NPI 1568723153
DC
-
- Anatomic Pathology & Clinical Pathology Physician
- Bowie, MD
- NPI 1225262868
DC, Gastroenterology
-
- Gastroenterology Physician
- Columbia, MD
- NPI 1578825832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777334400000",
"number": "1003632373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 MINSTREL WAY STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12011 ROUTE 50 STE 506",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333315",
"telephone_number": "484-339-6869",
"fax_number": "484-214-9609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTRO VIRGINIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "207-631-7837"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Gary D. Cobb, PH.D., P.C.
- Sarah Mae Gary, LPC
- Sandra Marie Garza, LCSW
- Greg E Gaski, MD
- Stephen Gassaway
- Gastroenterology Associates of Northern Virginia, LLC
- Gastroenterology Associates of Northern Virginia, LLC
- Gastroenterology Associates of Northern Virginia, LLC
- Gastroenterology Associates of Northern Virginia, LLC
- Gastroenterology Consultants of Northern Virginia PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.