Individual provider Active NPI

Simon Oanhuk Choi, FNP

  • Family Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1013628783
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022064121 Issued in VA
Practice address
19305 Ruby Dr
Leesburg, VA 20176-6508
Phone
(866) 389-2727
NPI assigned
Dec 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022064121 VA Primary

Addresses

Primary practice location

19305 Ruby Dr
Leesburg, VA 20176-6508

Mailing address

19305 Ruby Dr
Leesburg, VA 20176-6508

Other practice location 1

8551 Rixlew Ln Ste 140
Manassas, VA 20109-4278
Phone (703) 361-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230818001973 VA Practitioner - Nurse Practitioner 0446612667 Reassigns benefits to 3 organizations
I20260513003854 DC Practitioner - Nurse Practitioner 0446612667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

Practice addresses (Care Compare)

1200 Edwards Ferry Rd NE
Leesburg, VA 20176-3318
Phone (866) 389-2727

14380 McGraws Corner Dr
Gainesville, VA 20155-1866
Phone (866) 389-2727

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022064121VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jun 3, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 3, 2023 Accepting new patients
Altmed Medical Center, Inc Past Accepting new patients
Rapha Medical Group, LLC PastSince Dec 1, 2022 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24525/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1013628783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19305 RUBY DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19305 RUBY DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766508",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8551 Rixlew Ln Ste 140",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201094278",
            "country_code": "US",
            "telephone_number": "703-361-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SIMON",
        "middle_name": "OANHUK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "2022064121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.