Individual provider Active NPI

Jodi Robin Natovitz, MD

  • Pediatrics Physician
  • Chantilly, VA
National Provider Identifier
1386661262
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101053539 Issued in VA
Practice address
3914 Centreville Rd Ste 225
Chantilly, VA 20151-3045
Phone
(703) 956-6301
Fax
(855) 308-2338
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101053539 VA Primary

Addresses

Primary practice location

3914 Centreville Rd Ste 225
Chantilly, VA 20151-3045

Mailing address

5341 Crimson Sky CT
Centreville, VA 20120-3004
Phone (703) 830-1739

Other practice location 1

8988 Fern Park Dr
Burke, VA 22015-1635
Phone (703) 978-6061

Other practice location 2

13001 Summit School Rd
Woodbridge, VA 22192-2903
Phone (703) 494-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101053539VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Group, PC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jodi.natovitz@tpgp.eclinicaldirectplus.com
  • Direct secure messaging: jodinatovitz@tpedg.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1386661262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 CRIMSON SKY CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203004",
            "telephone_number": "703-830-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD STE 225",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513045",
            "telephone_number": "703-956-6301",
            "fax_number": "855-308-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8988 Fern Park Dr",
            "address_purpose": "LOCATION",
            "city": "Burke",
            "state": "VA",
            "postal_code": "220151635",
            "country_code": "US",
            "telephone_number": "703-978-6061",
            "fax_number": "703-978-0291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13001 Summit School Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922903",
            "country_code": "US",
            "telephone_number": "703-494-4811",
            "fax_number": "855-308-2338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATOVITZ",
        "first_name": "JODI",
        "middle_name": "ROBIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101053539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.