Active NPI
Gastroenterology Center of Northern Virginia LTD
- Gastroenterology Physician
- Annandale, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROENTEROLOGY CENTER OF NORTHERN VIRGINIA LTD
- Practice address
- 3299 Woodburn Road
Suite 220
Annandale, VA 22003 - Phone
- (703) 560-6106
- Fax
- (703) 204-1968
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriel B Herman, MD
- Title
- President
- Phone
- (703) 560-6106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
3299 Woodburn Road
Suite 220
Annandale, VA 22003
Mailing address
3299 Woodburn Road
Suite 220
Annandale, VA 22003
Phone (703) 560-6106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050707000466 | DC | Part B Supplier - Clinic/Group Practice | 0042256406 |
Receives reassigned benefits from 6 practitioners Practice locations: Annandale, VA; Arlington, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2165030 | Gastroenterology Center of Northern Virginia, LTD | Compliance | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
3301 Woodburn Rd
Ste 220
Annandale, VA 22003
3299 Woodburn Rd
#202
Annandale, VA 22003
3299 Woodburn Rd
Ste 220
Annandale, VA 22003
Phone (220) 270-3747
1625 N George Mason Dr
Fl 2
Arlington, VA 22205
Phone (703) 558-6585
8301 Arlington Blvd
Ste 405
Fairfax, VA 22031
Phone (703) 560-6106
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Arlington, VA
- NPI 1457450280
DC, Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365984000000",
"number": "1154546158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3299 WOODBURN ROAD",
"address_2": "SUITE 220",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "22003",
"telephone_number": "703-560-6106",
"fax_number": "703-204-1968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3299 WOODBURN ROAD",
"address_2": "SUITE 220",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "22003",
"telephone_number": "703-560-6106",
"fax_number": "703-204-1968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY CENTER OF NORTHERN VIRGINIA LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2013-04-15",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "GABRIEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-560-6106",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.