Organization Active NPI

Value in Prevention of Virginia, PLLC

  • Internal Medicine Physician
  • Great Falls, VA
National Provider Identifier
1366155236
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VALUE IN PREVENTION OF VIRGINIA, PLLC
Practice address
10135 Colvin Run Rd Ste 220
Great Falls, VA 22066-1872
Phone
(703) 757-3870
Fax
(703) 757-9879
NPI assigned
Jan 5, 2023
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Andrea Klemes, DO
Title
Chief Medical Officer
Phone
(561) 982-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10135 Colvin Run Rd Ste 220
Great Falls, VA 22066-1872

Mailing address

4950 Communication Ave Ste 100
Boca Raton, FL 33431-3308
Phone (561) 982-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230511000442 DC Part B Supplier - Clinic/Group Practice 0345615878 Receives reassigned benefits from 2 practitioners
Practice locations: Great Falls, 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
49D0987492Value in Prevention of Virginia PLLC10135 Colvin Run Road, Suite 220, Great Falls, VA 22066Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Locations

10135 Colvin Run Rd
Ste 101
Great Falls, VA 22066

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1366155236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313308",
            "telephone_number": "561-982-4300",
            "fax_number": "561-455-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10135 COLVIN RUN RD STE 220",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661872",
            "telephone_number": "703-757-3870",
            "fax_number": "703-757-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE IN PREVENTION OF VIRGINIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "KLEMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "561-982-4300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.