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Medstar Medical Group II LLC

Organization Active NPI General Practice Physician · Woodbridge, VA

NPI 1235537804 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1235537804
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
MEDSTAR MEDICAL GROUP II LLC
Practice address
12825 Minnieville Rd
Ste 203
Woodbridge, VA 22192-3601
Phone
(703) 971-3701
Fax
(703) 256-2959
NPI assigned
Dec 15, 2014
Organization subpart
No

Authorized official

Name
Stephanie Schneider
Title
Vice President
Phone
(703) 558-1403

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3,726

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

View all 3,726

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250917000678 VA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0547413825 Practice locations: Woodbridge, VA

National Provider Directory

Tax ID family
Medstar Medical Group II LLC (277 organizations share this tax ID)

Locations

12825 Minnieville Rd
Ste 203
Woodbridge, VA 22192
Phone (730) 971-3701

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

12825 Minnieville Rd
Ste 203
Woodbridge, VA 22192-3601

Mailing address

3007 Tilden St NW Ste 5N
Washington, DC 20008-3030
Phone (888) 896-1400

Other names

  • MEDSTAR ORTHOPAEDIC INSTITUTE AT LAKE RIDGE Other name

Other providers in Woodbridge, VA

All providers in Woodbridge, VA · General Practice Physician in Virginia

Sources for this page

Verify at the official NPI Registry.