Active NPI
Virginia Center for Medicine, Inc.
- Internal Medicine Physician
- Ashburn, VA
National Provider Identifier
1376672907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101056851
- Legal business name
- VIRGINIA CENTER FOR MEDICINE, INC.
- Practice address
- 43490 Yukon Drive
Suite 210
Ashburn, VA 20147 - Phone
- (703) 726-2566
- Fax
- (703) 726-1066
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sheena Abraham
- Title
- President
- Phone
- (703) 726-2566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101056851 | VA | Primary |
Addresses
Primary practice location
43490 Yukon Drive
Suite 210
Ashburn, VA 20147
Mailing address
12797 Owlsley Way
Oak Hill, VA 20171-4223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070613000636 | VA | Part B Supplier - Clinic/Group Practice | 8426156506 |
Receives reassigned benefits from 1 practitioner Practice locations: Ashburn, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1075458 | Virginia Center for Medicine | Certificate of waiver | Oct 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
43490 Yukon Dr
Ste 210
Ashburn, VA 20147
Phone (703) 723-1163
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Pittsford, NY
- NPI 1336288554
Internal Medicine, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1376672907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12797 OWLSLEY WAY",
"city": "OAK HILL",
"state": "VA",
"postal_code": "201714223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43490 YUKON DRIVE",
"address_2": "SUITE 210",
"city": "ASHBURN",
"state": "VA",
"postal_code": "20147",
"telephone_number": "703-726-2566",
"fax_number": "703-726-1066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA CENTER FOR MEDICINE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "SHEENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-726-2566",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101056851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.