NPIMap

Organization Active NPI

Virginia Critical Care PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Lorton, VA
National Provider Identifier
1053067348
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
VIRGINIA CRITICAL CARE PLLC
Practice address
10716 Richmond Hwy Ste 204
Lorton, VA 22079-2645
Phone
(571) 481-2442
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Linda W Burke
Title
Manager
Phone
(703) 673-6389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

10716 Richmond Hwy Ste 204
Lorton, VA 22079-2645

Mailing address

10716 Richmond Hwy Ste 204
Lorton, VA 22079-2645
Phone (571) 481-2442

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lorton Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220719003921 VA Part B Supplier - Clinic/Group Practice 7315328523 Receives reassigned benefits from 9 practitioners
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1053067348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10716 RICHMOND HWY STE 204",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792645",
            "telephone_number": "571-481-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 RICHMOND HWY STE 204",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792645",
            "telephone_number": "571-481-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CRITICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-673-6389"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lorton",
            "affiliation": "N",
            "endpointDescription": "Billing and IT office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10716 Richmond Hwy Ste 204",
            "city": "Lorton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220792645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.

Verify at the official NPI Registry.