NPIMap

Organization Active NPI

Health Systems Incorporated

  • Urgent Care Clinic/Center
  • Centreville, VA
National Provider Identifier
1306881024
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HEALTH SYSTEMS INCORPORATED
Practice address
14001A Saint Germain Dr
Centreville, VA 20121-2338
Phone
(703) 830-8113
Fax
(703) 830-8276
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Oluseyi Akinwale Adegoroye, M.D.NPI 1811025356
Title
Medical Director
Phone
(703) 830-8113

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

14001A Saint Germain Dr
Centreville, VA 20121-2338

Mailing address

PO Box 612
Centreville, VA 20122-0612
Phone (703) 830-8113

Other names 1

  • Centreville Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120228000139 DC Part B Supplier - Clinic/Group Practice 0042478653 Receives reassigned benefits from 2 practitioners
Practice locations: Centreville, VA

National Provider Directory

National Provider Directory

Locations

14001D Saint Germain Dr
Centreville, VA 20121
Phone (703) 802-0630

5900 Fort Dr
Ste 201
Centreville, VA 20121
Phone (703) 830-8113

Practitioners & affiliated clinicians

Practitioners 7

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1306881024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201220612",
            "telephone_number": "703-830-8113",
            "fax_number": "703-830-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001A SAINT GERMAIN DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212338",
            "telephone_number": "703-830-8113",
            "fax_number": "703-830-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SYSTEMS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "ADEGOROYE",
        "authorized_official_first_name": "OLUSEYI",
        "authorized_official_middle_name": "AKINWALE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-830-8113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centreville Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.