NPIMap

Organization Active NPI

The Cardiovascular Group, PC

Doing business as Virginia Heart

  • Cardiovascular Disease Physician
  • Leesburg, VA
National Provider Identifier
1417190240
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
THE CARDIOVASCULAR GROUP, PC
Doing business as
Virginia Heart
Practice address
44035 Riverside Pkwy
#400
Leesburg, VA 20176-8260
Phone
(703) 858-5421
Fax
(703) 858-9573
NPI assigned
Apr 9, 2009
Last updated
Nov 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Suzanne Y Williamson
Title
Director of the Business Office
Phone
(703) 591-1688

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU
Interventional Cardiology Physician 207RI0011X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

44035 Riverside Pkwy
#400
Leesburg, VA 20176-8260

Mailing address

2901 Telestar CT.
#300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other identifiers 2

IdentifierTypeStateIssuer
1366498933MedicaidVA
221800301MedicaidMD

Other names 1

  • Virginia Heart Doing business as

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
49D1057266Cardiovascular Group, the (Dba Virginia Heart)44035 Riverside Parkway - Suite 400, Leesburg, VA 20176Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
The Cardiovascular Group PC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1417190240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT.",
            "address_2": "#300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44035 RIVERSIDE PKWY",
            "address_2": "#400",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768260",
            "telephone_number": "703-858-5421",
            "fax_number": "703-858-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARDIOVASCULAR GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR OF THE BUSINESS OFFICE",
        "authorized_official_telephone_number": "703-591-1688"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366498933",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221800301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Heart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virginia Heart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.