Organization Active NPI

Children & Adolescent Pediatric Services PLLC

  • Pediatrics Physician
  • Leesburg, VA
National Provider Identifier
1447519715
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10101251326 Issued in VA
Legal business name
CHILDREN & ADOLESCENT PEDIATRIC SERVICES PLLC
Practice address
161 Fort Evans Rd NE
Suite 330
Leesburg, VA 20176-3369
Phone
(703) 777-5224
Fax
(703) 777-5227
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Sosun Faqiri, MDNPI 1164659934
Title
Owner
Phone
(302) 299-6648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10101251326 VA Primary

Addresses

Primary practice location

161 Fort Evans Rd NE
Suite 330
Leesburg, VA 20176-3369

Mailing address

161 Fort Evans Rd NE
Suite 330
Leesburg, VA 20176-3369
Phone (703) 777-5224

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
49D2043784Children's Adolescent Pediatric Services, PLLC161 Fort Evans Road, NE - Suite 330, Leesburg, VA 20176Certificate of waiverJul 9, 2026

National Provider Directory

National Provider Directory

Locations

161 Fort Evans Rd NE
Ste 330
Leesburg, VA 20176
Phone (703) 777-5224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4287/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1447519715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FORT EVANS RD NE",
            "address_2": "SUITE 330",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763369",
            "telephone_number": "703-777-5224",
            "fax_number": "703-777-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT EVANS RD NE",
            "address_2": "SUITE 330",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763369",
            "telephone_number": "703-777-5224",
            "fax_number": "703-777-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN & ADOLESCENT PEDIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "FAQIRI",
        "authorized_official_first_name": "SOSUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-299-6648",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "10101251326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 8, 2012; 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.