NPIMap

Organization Active NPI

The Cardiovascular Group, PC

  • Cardiovascular Disease Physician
  • Vienna, VA
National Provider Identifier
1366498933
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
THE CARDIOVASCULAR GROUP, PC
Practice address
1900 Gallows Rd Ste 110
Vienna, VA 22182-4098
Phone
(703) 281-1265
Fax
(703) 255-0571
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Suzanne Y Williamson
Title
Director of Business Office
Phone
(703) 591-1688

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

1900 Gallows Rd Ste 110
Vienna, VA 22182-4098

Mailing address

2901 Telestar CT.
#300
Falls Church, VA 22042-1261
Phone (703) 591-1688

Other identifiers 4

IdentifierTypeStateIssuer
221800300MedicaidMD
031747400MedicaidDC
CG9497OtherVARAILROAD MEDICARE VA GRP#
CC2597OtherDCRAILROAD MEDICARE DC GRP#

Other names 1

  • Virginia Heart Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202001017 DC Part B Supplier - Clinic/Group Practice 2062305360 Receives reassigned benefits from 62 practitioners
Practice locations: Falls Church, VA; Reston, VA; Vienna, VA; Arlington, VA; Fairfax, VA; Alexandria, VA
O20040507001043 VA Part B Supplier - Clinic/Group Practice 2062305360 Receives reassigned benefits from 59 practitioners
Practice locations: Leesburg, VA; Purcellville, VA; Dulles, 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
49D1057264Cardiovascular Group, the (Dba Virginia Heart)1900 Gallows Rd, Suite 110, Vienna, VA 22182Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

3289 Woodburn Rd
Ste 375
Annandale, VA 22003
Phone (703) 208-6650

1625 N George Mason Dr
Ste 435
Arlington, VA 22205
Phone (703) 524-7202

4080 Lafayette Center Dr
Ste 320
Chantilly, VA 20151
Phone (703) 648-3266

3580 Joseph Siewick Dr
Ste 305
Fairfax, VA 22033
Phone (703) 648-3266

8505 Arlington Blvd
Ste 420
Fairfax, VA 22031
Phone (703) 208-9797

2901 Telestar Ct
Falls Church, VA 22042

2901 Telestar Ct
#600
Falls Church, VA 22042
Phone (703) 621-4503

2901 Telestar Ct
Ste 440
Falls Church, VA 22042
Phone (703) 621-4503

19450 Deerfield Ave
Ste 110
Leesburg, VA 20176
Phone (703) 225-4800

19455 Deerfield Ave
Ste 306
Leesburg, VA 20176
Phone (703) 723-5520

2 Cardinal Park Dr SE
Ste 203A
Leesburg, VA 20175
Phone (703) 777-8558

224D Cornwall St NW
#207A
Leesburg, VA 20176
Phone (703) 766-0789

1830 Town Center Dr
Ste 201
Reston, VA 20190
Phone (703) 437-5977

130 Park St SE
#2597
Vienna, VA 22180

Practitioners & affiliated clinicians

Practitioners 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1366498933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT.",
            "address_2": "#300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421261",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GALLOWS RD STE 110",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824098",
            "telephone_number": "703-281-1265",
            "fax_number": "703-255-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARDIOVASCULAR GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE",
        "authorized_official_telephone_number": "703-591-1688"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221800300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031747400",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE VA GRP#",
            "identifier": "CG9497",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE DC GRP#",
            "identifier": "CC2597",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Heart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virginia Heart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.