NPIMap

Organization Active NPI

Virginia Institute of Lung Diseases LLC

  • Pulmonary Disease Physician
  • Yorktown, VA
National Provider Identifier
1144945353
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
VIRGINIA INSTITUTE OF LUNG DISEASES LLC
Practice address
101 Pickett PL
Yorktown, VA 23693-2451
Phone
(502) 244-9859
Fax
(770) 573-9513
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Steven Smith, CREDENTIALING
Title
Manager
Phone
(502) 244-9859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

101 Pickett PL
Yorktown, VA 23693-2451

Mailing address

101 Pickett PL
Yorktown, VA 23693-2451
Phone (502) 244-9859

Other practice location 1

2501 Parkers Ln Fl 4
Alexandria, VA 22306-3209
Phone (804) 214-6178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221028002793 VA Part B Supplier - Clinic/Group Practice 0941677256 Receives reassigned benefits from 16 practitioners
Practice locations: Yorktown, VA
O20250331001652 DC Part B Supplier - Clinic/Group Practice 0941677256 Receives reassigned benefits from 8 practitioners
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020

7300 Forest Ave
Richmond, VA 23226
Phone (804) 280-3152

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1144945353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PICKETT PL",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932451",
            "telephone_number": "502-244-9859",
            "fax_number": "770-573-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PICKETT PL",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932451",
            "telephone_number": "502-244-9859",
            "fax_number": "770-573-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Parkers Ln Fl 4",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "804-214-6178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA INSTITUTE OF LUNG DISEASES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-244-9859",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.