Organization Active NPI

Virginia Medical Alliance PC

  • Internal Medicine Physician
  • Springfield, VA
National Provider Identifier
1225083223
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIRGINIA MEDICAL ALLIANCE PC
Practice address
5510 Alma LN
Springfield, VA 22151-4012
Phone
(703) 642-5990
Fax
(703) 642-3585
NPI assigned
May 24, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lewis Suskiewicz, M.D.NPI 1508864273
Title
Chairman
Phone
(703) 642-5990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X VA Primary

Addresses

Primary practice location

5510 Alma LN
Springfield, VA 22151-4012

Mailing address

5510 Alma LN
Springfield, VA 22151-4012
Phone (703) 642-5990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001342 DC Part B Supplier - Clinic/Group Practice 0648262261 Receives reassigned benefits from 21 practitioners
Practice locations: Springfield, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0223218Virginia Medical Alliance, PC5510 Alma Lane, Springfield, VA 22151AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

5510 Alma Ln
Springfield, VA 22151
Phone (703) 642-5990

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225083223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514012",
            "telephone_number": "703-642-5990",
            "fax_number": "703-642-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514012",
            "telephone_number": "703-642-5990",
            "fax_number": "703-642-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MEDICAL ALLIANCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUSKIEWICZ",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "703-642-5990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.