Organization Active NPI

Virginia Center for Medicine, Inc.

  • Internal Medicine Physician
  • Ashburn, VA
National Provider Identifier
1376672907
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101056851 Issued in VA
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

Updated by the provider on Dec 21, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 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
49D1075458Virginia Center for Medicine43490 Yukon Drive - Suite 210, Ashburn, VA 20147Certificate of waiverOct 18, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.