Active NPI
Inova Health Care Services
Doing business as Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 19802001
- Legal business name
- INOVA HEALTH CARE SERVICES
- Doing business as
- Inova Loudoun Hospital
Inova Loudoun Hospital - Psych - Practice address
- 224 Cornwall St NW
Leesburg, VA 20176-2701 - Phone
- (703) 858-6000
- Fax
- (703) 858-2620
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricardo Talento
- Title
- Corporate Chief Financial Officer
- Phone
- (571) 472-8717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 19802001 | VA | Primary |
Addresses
Primary practice location
224 Cornwall St NW
Leesburg, VA 20176-2701
Mailing address
8095 Innovation Park Dr
Fairfax, VA 22031-4868
Phone (540) 272-7378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376564302 | Medicaid | VA |
Other names 2
- Inova Loudoun Hospital
- Inova Loudoun Hospital - Psych
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200203000192 | VA | Part A Provider - Hospital | 2466351093 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ashburn, VA; Leesburg, VA |
| O20200209000023 | VA | Part A Provider - Hospital | 2466351093 | Practice locations: Leesburg, VA |
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1285786228. Details of each certification follow.
Hospital certification: CCN 490043
- Legal name
- INOVA HEALTH CARE SERVICES
- Doing business as
- INOVA LOUDOUN HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Dec 13, 2012
- Beds
- 167
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Feb 13, 1956 in VA
- Enrollment address
- 44045 Riverside Pkwy
Leesburg, VA 20176-5101 - Hospital subgroups
- General, Acute care
Hospital certification: CCN 49S043
- Legal name
- INOVA HEALTH CARE SERVICES
- Doing business as
- INOVA LOUDOUN HOSPITAL
- Organization structure
- Corporation
- Incorporated
- Feb 13, 1956 in VA
- Enrollment address
- 224 Cornwall St NW
Leesburg, VA 20176-2701 - Hospital subgroups
- Psychiatric unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
Unit of hospital
Other NPIs with the same Medicare PAC ID 23
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Inova Mount Vernon Hospital
- Rehabilitation Hospital Unit
- Alexandria, VA
- NPI 1013048990
2466351093
-
dba Inova Physical Therapy Center
- Physical Therapist
- Springfield, VA
- NPI 1043563257
2466351093
-
dba Inova Retail Pharmacy - ICPH
- Community/Retail Pharmacy
- Fairfax, VA
- NPI 1093526295
2466351093
-
dba Inova Mount Vernon Hospital
- Psychiatric Hospital Unit
- Alexandria, VA
- NPI 1104957083
2466351093
-
dba Inova Pharmacy Plus- ILH
- Community/Retail Pharmacy
- Leesburg, VA
- NPI 1184346470
2466351093
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
2466351093
-
dba Inova Fairfax Hospital Schar Physicians
- Medical Oncology Physician
- Fairfax, VA
- NPI 1275097123
2466351093
-
dba Inova Urgent Care Center
- Urgent Care Clinic/Center
- Vienna, VA
- NPI 1275886418
2466351093
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
2466351093
-
dba Inova Laboratories
- Clinical Medical Laboratory
- Fairfax, VA
- NPI 1437596855
2466351093
-
dba Inova Pharmacy Plus at Inova Fairfax IHVI
- Community/Retail Pharmacy
- Falls Church, VA
- NPI 1447686928
2466351093
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
O20200203000192
Care Compare: Hospital
Medicare Care Compare- Listed as
- Inova Loudoun Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 26
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Madeline Erario | Corporate Director | Jan 1, 2021 | |
| Corporate Director | Jan 1, 2022 | ||
| Bruce Caswell | Corporate Director | Jan 1, 2025 | |
| Timothy Gillis | Corporate Director | Jan 1, 2025 | |
| Inova Health Systems Foundation | 5% Or Greater Direct Ownership Interest | Jan 1, 2020 | 100% |
| 5% Or Greater Direct Ownership Interest | Mar 7, 2005 | ||
| Ricardo Talento | Corporate Officer | May 4, 2024 | |
| W-2 Managing Employee | Jun 5, 2017 | ||
| Terri McClements | Corporate Director | Jan 1, 2025 | |
| Jeffrey McKay | Corporate Director | Jan 1, 2025 | |
| Jace Stephen Jones | Corporate Officer | Apr 9, 2018 | |
| Corporate Officer | Apr 9, 2018 | ||
| Renee Desilva | Corporate Director | Jan 1, 2021 | |
| Corporate Director | Jan 1, 2022 | ||
| Eliot J Fredd | W-2 Managing Employee | Nov 18, 2024 | |
| Toni Ardabell | W-2 Managing Employee | Jul 22, 2019 | |
| Kathryn Falk | Corporate Director | Jan 1, 2022 | |
| Maureen Sintich | W-2 Managing Employee | Jul 1, 2019 | |
| Jill Duncan | Corporate Director | Jan 1, 2021 | |
| Corporate Director | Jan 1, 2022 | ||
| Christopher Smith | Corporate Officer | Jan 1, 2022 | |
| W-2 Managing Employee | Jul 14, 2019 | ||
| John Gaul | Corporate Director | Jan 1, 2012 | |
| W-2 Managing Employee | Jan 2, 2012 | ||
| Lesley Kalan | Corporate Director | Jan 1, 2022 | |
| Paul Misener | Corporate Director | Jan 1, 2025 | |
| Tracy R Bish | W-2 Managing Employee | Jan 1, 2006 | |
| Nazzic Keene | Corporate Director | Jan 1, 2021 | |
| Corporate Director | Jan 1, 2022 | ||
| Craig Albert | Corporate Director | Jan 1, 2025 | |
| Olin Marcus McClain | W-2 Managing Employee | Nov 1, 2018 | |
| Jean Stack | Corporate Director | Jan 1, 2023 | |
| Filiz Greenberg | W-2 Managing Employee | Jan 5, 2025 | |
| Charles Beard | Corporate Director | Jan 1, 2026 | |
| Charanjit Singh | Corporate Director | Jan 1, 2026 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Inova Home Health LLC | Home health agency | 5% Or Greater Indirect Ownership Interest (51%) | Sep 5, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Inova Mount Vernon Hospital
- Rehabilitation Hospital Unit
- Alexandria, VA
- NPI 1013048990
Inova Health Systems Foundation
-
dba Inova Mount Vernon Hospital
- Psychiatric Hospital Unit
- Alexandria, VA
- NPI 1104957083
Inova Health Systems Foundation
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
Inova Health Systems Foundation
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
Inova Health Systems Foundation
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
Inova Health Systems Foundation
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
Inova Health Systems Foundation
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
Inova Health Systems Foundation
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
Inova Health Systems Foundation
-
dba Inova Fairfax Hospital
- Psychiatric Hospital Unit
- Falls Church, VA
- NPI 1972634848
Inova Health Systems Foundation
Practitioners & affiliated clinicians
Affiliated clinicians 1,143
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751932800000",
"number": "1285786228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8095 INNOVATION PARK DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314868",
"telephone_number": "540-272-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 CORNWALL ST NW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762701",
"telephone_number": "703-858-6000",
"fax_number": "703-858-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INOVA HEALTH CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A",
"authorized_official_last_name": "TALENTO",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "CORPORATE CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "571-472-8717"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "VA",
"license": "19802001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376564302",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Inova Loudoun Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inova Loudoun Hospital - Psych",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Inova Health Care Services (Inova Pharmacy Plus- ILH)
- Inova Health Care Services (Inova Loudoun Hospital)
- Inova Loudoun Ambulatory Surgery
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- Inova Loudoun Hospital
- Inova Physician Partners, Inc. - Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.