Active NPI
Sunday C Uchella, MD
- Pediatrics Physician
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D47415
- Practice address
- 14904 Jefferson Davis Hwy.
#402
Woodbridge, VA 22191-3311 - Phone
- (703) 499-8999
- Fax
- (703) 499-8996
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101052828 | VA | |
| Pediatrics Physician | 208000000X | 0101052828 | VA | |
| Pediatrics Physician | 208000000X | D47415 | MD | Primary |
Addresses
Primary practice location
14904 Jefferson Davis Hwy.
#402
Woodbridge, VA 22191-3311
Mailing address
6832 Creek Crest Way
Springfield, VA 22150-4608
Phone (703) 499-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010208351 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052828 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adfinitas Health at Fauquier, LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Associates | Emergency Medicine | Past | Accepting new patients |
| Bestpractices, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
7250 Parkway Dr
Ste 500
Hanover, MD 21076
Phone (410) 999-1130
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIDECA/Endpoint/AIDECA
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Warrenton, VA
- NPI 1225558109
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
- Emergency Medicine Physician
- Reston, VA
- NPI 1861892879
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1063464113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6832 CREEK CREST WAY",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221504608",
"telephone_number": "703-499-8999",
"fax_number": "703-499-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY.",
"address_2": "#402",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913311",
"telephone_number": "703-499-8999",
"fax_number": "703-499-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UCHELLA",
"first_name": "SUNDAY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101052828",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101052828",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D47415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010208351",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.