Infectious Diseases Specialists of Virginia, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INFECTIOUS DISEASES SPECIALISTS OF VIRGINIA, LLC

Practice address

13890 Braddock Rd Ste 206
Centreville, VA 20121-2437

Phone

(703) 758-2664

Fax

(703) 758-2668

NPI assigned

Jun 11, 2006

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariann E Lansdowne

Title

Practice Manager

Phone

(703) 758-2664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Bernales Ramilo, MD

  • Infectious Disease Physician
  • Centreville, VA
  • NPI 1821045501

  DC

  Medicare reassignment Care Compare group
• Henry Hyung Back Rhee, MD

  • Infectious Disease Physician
  • Centreville, VA
  • NPI 1265489868

  DC

  Medicare reassignment Care Compare group
• Marsha Diane Soni, MD

  • Infectious Disease Physician
  • Fairfax, VA
  • NPI 1619924347

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1336181882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 206",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212437",
            "telephone_number": "703-758-2664",
            "fax_number": "703-758-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 206",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212437",
            "telephone_number": "703-758-2664",
            "fax_number": "703-758-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES SPECIALISTS OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "LANSDOWNE",
        "authorized_official_first_name": "MARIANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-758-2664"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hutchison and Gorman, LLC
• Bruce Raymond Hutchison, DDS
• Hyue Kyung Kwon, D.D.S., P.C. (MC Orthodontics)
• Image Medical LLC
• Infinity ABA Therapy & Autism Services, LLC
• Alyson McBride Ingram
• David Ingram Jr., D.C.
• Inner Paz Practice
• Inova Reston MRI Center LLC

• Infectious Disease Physician in Centreville, VA
• Providers in Centreville, VA by specialty
• Infectious Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.