Active NPI
Scott Michael Sirlin, MD
- Pediatric Gastroenterology Physician
- Lansdowne, VA
National Provider Identifier
1174517478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 0101225789
- Practice address
- 19455 Deerfield Ave
Suite 205
Lansdowne, VA 20176-8100 - Phone
- (703) 726-9930
- Fax
- (703) 723-8278
- NPI assigned
- Sep 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 0101225789 | VA | Primary |
Addresses
Primary practice location
19455 Deerfield Ave
Suite 205
Lansdowne, VA 20176-8100
Mailing address
19455 Deerfield Ave
Suite 205
Lansdowne, VA 20176-8100
Phone (703) 726-9930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06734626 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101225789 | VA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250380800000",
"number": "1174517478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19455 DEERFIELD AVE",
"address_2": "SUITE 205",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768100",
"telephone_number": "703-726-9930",
"fax_number": "703-723-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19455 DEERFIELD AVE",
"address_2": "SUITE 205",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768100",
"telephone_number": "703-726-9930",
"fax_number": "703-723-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRLIN",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2009-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "VA",
"license": "0101225789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06734626",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansdowne, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.