Individual provider Active NPI

John James Wierzbicki, D.O.

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1316932809
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102201607 Issued in VA
Practice address
3401 Commission CT Ste 201
Woodbridge, VA 22192-1771
Phone
(703) 490-6265
Fax
(703) 490-6713
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102201607 VA Primary

Addresses

Primary practice location

3401 Commission CT Ste 201
Woodbridge, VA 22192-1771

Mailing address

3401 Commission CT
Woodbridge, VA 22192-1771
Phone (703) 490-6265

Other practice location 1

12925 Highway 601
Suite B MIDLAND FAMILY MEDICINE
Midland, NC 28107-9535
Phone (704) 888-3702

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000654 VA Practitioner - Family Practice 8022177047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Family Medicine of Lake Ridge PCGroup PAC ID 0042370397, 3 clinicians

Practice addresses (Care Compare)

1950 Glenn Mitchell Dr
Suite 300
Virginia Beach, VA 23456-0048
Phone (757) 507-0305

3401 Commission CT
Suite 201
Woodbridge, VA 22192-1771
Phone (703) 490-6265

Hospital & facility affiliations

  • Sentara Home Care Services-Virginia Beach Home health agency, Chesapeake, VA, CCN 497747
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Merit-based Incentive Payment System (MIPS)

Final score
20.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine of Lake Ridge PC Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1950 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 507-0305

3401 Commission Ct
Ste 201
Woodbridge, VA 22192
Phone (540) 779-5180

Interoperability endpoints

  • Direct secure messaging: johnwierzbicki@fmolrp-va.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1316932809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 COMMISSION CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921771",
            "telephone_number": "703-490-6265",
            "fax_number": "703-490-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 COMMISSION CT STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921771",
            "telephone_number": "703-490-6265",
            "fax_number": "703-490-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12925 Highway 601",
            "address_2": "Suite B MIDLAND FAMILY MEDICINE",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "NC",
            "postal_code": "281079535",
            "country_code": "US",
            "telephone_number": "704-888-3702",
            "fax_number": "704-888-4192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIERZBICKI",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.