Organization Active NPI

Urology Center-USA Inc

  • Specialist
  • Reston, VA
National Provider Identifier
1306211370
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101040651 Issued in VA
Legal business name
UROLOGY CENTER-USA INC
Practice address
1830 Town Center Dr
Suite 301
Reston, VA 20190-3292
Phone
(703) 742-7757
Fax
(703) 742-6857
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Dr. Janice Lee Arnold, MDNPI 1831150382
Title
Pres./Ceo
Phone
(703) 742-7757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101040651 VA Primary

Addresses

Primary practice location

1830 Town Center Dr
Suite 301
Reston, VA 20190-3292

Mailing address

1830 Town Center Dr
Suite 301
Reston, VA 20190-3292
Phone (703) 742-7757

Other identifiers 1

IdentifierTypeStateIssuer
010272840MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160322002126 DC Part B Supplier - Clinic/Group Practice 3678870482 Receives reassigned benefits from 1 practitioner
Practice locations: Reston, 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
49D0222642Urology Center USA, Inc1830 Town Center Drive,Suite 301, Reston, VA 20190Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory

Locations

1830 Town Center Dr
Ste 301
Reston, VA 20190
Phone (703) 742-7757

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1306211370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "address_2": "SUITE 301",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-742-7757",
            "fax_number": "703-742-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "address_2": "SUITE 301",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-742-7757",
            "fax_number": "703-742-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER-USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRES./CEO",
        "authorized_official_telephone_number": "703-742-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101040651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010272840",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.