Active NPI
Ruth Laarni Cedro Sunga-Lorico, MD
- Pediatrics Physician
- Annandale, VA
National Provider Identifier
1437103165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101052669
- Practice address
- 7501 Little River Tpke
Ste 202
Annandale, VA 22003 - Phone
- (703) 256-7200
- Fax
- (703) 658-0393
- NPI assigned
- May 19, 2006
- Last updated
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101052669 | VA | Primary |
Addresses
Primary practice location
7501 Little River Tpke
Ste 202
Annandale, VA 22003
Mailing address
10697 Dudley HTS CT
Fairfax, VA 22030
Phone (703) 278-0382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006753604 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052669 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annandale Pediatric Assoc Inc | Pediatrics | Past | Accepting new patients |
| Commonwealth Medical Center, PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Annandale, VA
- NPI 1174592745
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1700193497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1437103165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10697 DUDLEY HTS CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "703-278-0382",
"fax_number": "703-278-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 LITTLE RIVER TPKE",
"address_2": "STE 202",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "22003",
"telephone_number": "703-256-7200",
"fax_number": "703-658-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNGA-LORICO",
"first_name": "RUTH LAARNI",
"middle_name": "CEDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101052669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006753604",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.