Individual provider Active NPI

Sunday C Uchella, MD

  • Pediatrics Physician
  • Woodbridge, VA
National Provider Identifier
1063464113
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D47415 Issued in MD
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

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010208351MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040517000935 VA Practitioner - Pediatric Medicine 4385634757 Reassigns benefits to 1 organization
I20161205000593 DC Practitioner - Pediatric Medicine 4385634757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101052828VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adfinitas Health at Fauquier, LLC CurrentSince Feb 15, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.