Active NPI
Siarhei Liauchonak, M.D.
- Pediatrics Physician
- Falls Church, VA
National Provider Identifier
1386006484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101277274
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (571) 314-3530
- NPI assigned
- Mar 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101277274 | VA | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 0101277274 | VA |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
8252 Townsend St
#202
Fairfax, VA 22031-4852
Phone (571) 314-3530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101277274 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Pediatrics | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients |
Locations
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Pediatrics
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1386006484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8252 TOWNSEND ST",
"address_2": "#202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314852",
"telephone_number": "571-314-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "571-314-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAUCHONAK",
"first_name": "SIARHEI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101277274",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "VA",
"license": "0101277274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.