Active NPI
Leedylyn H. Stadulis, M.D.
- Obstetrics & Gynecology Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101231333
- Practice address
- 4710 Spotsylvania Pkwy Ste 206
Fredericksburg, VA 22407-9433 - Phone
- (540) 741-0460
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101231333 | VA | Primary |
Addresses
Primary practice location
4710 Spotsylvania Pkwy Ste 206
Fredericksburg, VA 22407-9433
Mailing address
1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940
Other practice location 1
1101 Sam Perry Blvd
Suite 401
Fredericksburg, VA 22401-4467
Phone (540) 940-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6206824 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Georgia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4710 Spotsylvania Pkwy
Suite 206
Fredericksburg, VA 22407-9433
Phone (540) 940-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101231333 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients |
Locations
1101 Sam Perry Blvd
Ste 401
Fredericksburg, VA 22401
Phone (540) 899-5864
1101 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 368-5350
4710 Spotsylvania Pkwy
Ste 206
Fredericksburg, VA 22407
Phone (540) 741-0460
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
Interoperability endpoints
- leedylyn.stadulis.1@21079.direct.athenahealth.com
- lstadulis12004@marywashingtonhealthcare.direct-ci.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1245221100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CENTRAL PARK BLVD STE 100",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 SPOTSYLVANIA PKWY STE 206",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224079433",
"telephone_number": "540-741-0460"
}
],
"practiceLocations": [
{
"address_1": "1101 Sam Perry Blvd",
"address_2": "Suite 401",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014467",
"country_code": "US",
"telephone_number": "540-940-2000",
"fax_number": "540-940-2001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STADULIS",
"first_name": "LEEDYLYN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101231333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6206824",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Chayakarn Srihatakool
- Kaori St Julien, RBT
- Gillian St. Amour, RIC
- Allison St. Cyr, AGACNP-BC
- Alexis Stadsklev, DNP APRN CRNA
- Stafford Dental Associates
- Stafford Dental Care
- Stafford Healthcare Group, Inc. (Falls Run Nursing and Rehabilitation)
- Stafford Home Healthcare
- Stafford II Healthcare Group, LLC (Berea Health & Rehab Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.