Individual provider Active NPI

Virginia Osorio, M.D.

  • Pediatrics Physician
  • Reston, VA
National Provider Identifier
1396107645
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
008755 Issued in GA
Practice address
1850 Town Center Pkwy
Reston, VA 20190-3298
Phone
(703) 689-9000
NPI assigned
Mar 25, 2016
Last updated
Apr 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 008755 GA Primary

Addresses

Primary practice location

1850 Town Center Pkwy
Reston, VA 20190-3298

Mailing address

1850 Town Center Pkwy
Reston, VA 20190-3298
Phone (703) 689-9000

Other practice location 1

777 Hemlock St
MSC 42
Macon, GA 31201
Phone (478) 633-7600

Other names 1

  • Virginia Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190916000341 DC Practitioner - Pediatric Medicine 8628320470 Reassigns benefits to 1 organization
I20190925001259 VA Practitioner - Pediatric Medicine 8628320470 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008755GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Pediatrics CurrentSince Sep 1, 2019 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Sep 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2019 Accepting new patients
Children's Medical Associates of Northern Virginia, P.C. Pediatrics Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1396107645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903298",
            "telephone_number": "703-689-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903298",
            "telephone_number": "703-689-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_2": "MSC 42",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31201",
            "country_code": "US",
            "telephone_number": "478-633-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "008755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "BROWN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.