Individual provider Active NPI

Stephanie Todd, M.D.

  • Pediatrics Physician
  • Great Falls, VA
National Provider Identifier
1093874307
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101246738 Issued in VA
Practice address
766 Walker Rd Ste a
Great Falls, VA 22066-2650
Phone
(571) 546-3461
Fax
(571) 653-8468
NPI assigned
Dec 6, 2006
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101246738 VA Primary

Addresses

Primary practice location

766 Walker Rd Ste a
Great Falls, VA 22066-2650

Mailing address

766 Walker Rd
Great Falls, VA 22066-2652
Phone (571) 546-3461

Other identifiers 1

IdentifierTypeStateIssuer
68027389MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000769 DC Practitioner - Pediatric Medicine 5496761686 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101246738VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Jan 23, 2010 Accepting new patients
Children's Hospital Pediatrics CurrentSince Jan 23, 2010 Accepting new patients
Children's Hospital Current Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1093874307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 WALKER RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662652",
            "telephone_number": "571-546-3461",
            "fax_number": "571-653-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 WALKER RD STE A",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662650",
            "telephone_number": "571-546-3461",
            "fax_number": "571-653-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101246738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68027389",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

Verify at the official NPI Registry.