Individual provider Active NPI

Amy K Moreno, MD

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1235175332
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101226910 Issued in VA
Practice address
8525 Rolling Rd
Suite 220
Manassas, VA 20110-3647
Phone
(703) 393-0700
Fax
(703) 393-0661
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101226910 VA Primary

Addresses

Primary practice location

8525 Rolling Rd
Suite 220
Manassas, VA 20110-3647

Mailing address

8525 Rolling Rd Ste 220
Manassas, VA 20110-3648
Phone (703) 393-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD, AR, WV5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050726000694 VA Practitioner - Family Practice 3870520398 Reassigns benefits to 4 organizations
I20140402000119 DC Practitioner - Family Practice 3870520398 Reassigns benefits to 1 organization
I20250220003362 MD Practitioner - Family Practice 3870520398 Reassigns benefits to 1 organization
I20250306003854 AR Practitioner - Family Practice 3870520398 Reassigns benefits to 1 organization
I20250409000254 WV Practitioner - Family Practice 3870520398 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101226910VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2025 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jul 31, 2024 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jul 31, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 24, 2013 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Nov 24, 2013 Accepting new patients
Piedmont Family Practice, PLC CurrentSince Apr 22, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Gainesville Family Practice, P.C. Family Medicine PastSince Jun 1, 2002 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

950 N Glebe Rd
#4000
Arlington, VA 22203

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8525 Rolling Rd
Ste 220
Manassas, VA 20110
Phone (703) 393-0700

8644 Sudley Rd
#220
Manassas, VA 20110

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

493 Blackwell Rd
Ste 202
Warrenton, VA 20186
Phone (540) 341-1734

Interoperability endpoints

  • Direct secure messaging: amoreno647318@direct.healthsystem.virginia.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: amoreno1206663@valleyhealth.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1235175332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 ROLLING RD STE 220",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103648",
            "telephone_number": "703-393-0700",
            "fax_number": "703-393-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 ROLLING RD",
            "address_2": "SUITE 220",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103647",
            "telephone_number": "703-393-0700",
            "fax_number": "703-393-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101226910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.