Organization Active NPI

Inova Ucc LLC

  • Urgent Care Clinic/Center
  • Vienna, VA
National Provider Identifier
1508592114
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
INOVA UCC LLC
Practice address
180 Maple Ave W
Vienna, VA 22180-5727
Phone
(571) 363-3539
Fax
(571) 363-3540
NPI assigned
Jul 26, 2022
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INOVA HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Alice Pope
Title
Cfo
Phone
(571) 472-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

180 Maple Ave W
Vienna, VA 22180-5727

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (703) 289-8655

Other practice location 1

1488 Northpoint Village Ctr
Reston, VA 20194-1190
Phone (571) 786-1024

Other practice location 2

8357 Leesburg Pike
Vienna, VA 22182-2493
Phone (571) 899-3237

Other practice location 3

4600 Langston Blvd
Arlington, VA 22207
Phone (571) 977-5274

Other practice location 4

24801 Pinebrook Rd Ste 100
Chantilly, VA 20152-4113
Phone (571) 370-5538

Other practice location 5

6201 Centreville Rd Ste 200
Centreville, VA 20121-2626
Phone (571) 549-8577

Other practice location 6

6230 Rolling Rd Ste J
Springfield, VA 22152-2326
Phone (571) 899-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221123001904 VA Part B Supplier - Clinic/Group Practice 7012385040 Receives reassigned benefits from 198 practitioners
Practice locations: Manassas, VA; Leesburg, VA; Lake Ridge, VA; Chantilly, VA; Broadlands, VA; Ashburn, VA; Gainesville, VA
O20221201001300 DC Part B Supplier - Clinic/Group Practice 7012385040 Receives reassigned benefits from 198 practitioners
Practice locations: Vienna, VA; Arlington, VA; Springfield, VA; Reston, VA; MC Lean, VA; Lorton, VA; Herndon, VA; Falls Church, VA…

National Provider Directory

National Provider Directory
Part of
Fair Oak Hospital

Locations

4600 Kenmore Ave
Alexandria, VA 22304
Phone (571) 506-1847

6218 N Kings Hwy
#B
Alexandria, VA 22303
Phone (571) 560-2621

3902 Wilson Blvd
Arlington, VA 22203
Phone (571) 560-2648

4600 Cherry Hill Rd
Arlington, VA 22207
Phone (571) 977-5274

4600 Langston Blvd
Arlington, VA 22207
Phone (571) 492-3080

20070 Ashbrook Commons Plz
Unit 104
Ashburn, VA 20147
Phone (571) 479-3116

43135 Broadlands Center Plz
Ste 123
Broadlands, VA 20148
Phone (571) 206-0742

24801 Pinebrook Rd
Ste 100
Chantilly, VA 20152
Phone (571) 370-5538

13039 Route 50
Ste C
Fairfax, VA 22033
Phone (571) 307-2594

9404A Main St
Fairfax, VA 22031
Phone (571) 404-6974

1208 W Broad St
Ste D
Falls Church, VA 22046
Phone (571) 766-8927

6371 Seven Corners Ctr
Falls Church, VA 22044
Phone (571) 286-5872

7637 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 743-7000

2425 Centreville Rd
Ste 7
Herndon, VA 20171
Phone (571) 376-4000

300 Fort Evans Rd NE
Ste 103
Leesburg, VA 20176
Phone (571) 252-9953

9427 Lorton Market St
Lorton, VA 22079
Phone (571) 336-7614

1340 Old Chain Bridge Rd
Ste 101
McLean, VA 22101
Phone (703) 893-2273

6206 Rolling Rd
Springfield, VA 22152
Phone (571) 889-3235

6671A Backlick Rd
Springfield, VA 22150
Phone (571) 286-5592

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

8357 Leesburg Pike
Vienna, VA 22182
Phone (571) 665-6400

Practitioners & affiliated clinicians

Practitioners 219

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.

View all 219

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1508592114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "703-289-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805727",
            "telephone_number": "571-363-3539",
            "fax_number": "571-363-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1488 Northpoint Village Ctr",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201941190",
            "country_code": "US",
            "telephone_number": "571-786-1024",
            "fax_number": "571-786-1025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8357 Leesburg Pike",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822493",
            "country_code": "US",
            "telephone_number": "571-899-3237",
            "fax_number": "571-899-3238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Langston Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "22207",
            "country_code": "US",
            "telephone_number": "571-977-5274",
            "fax_number": "571-977-5275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24801 Pinebrook Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201524113",
            "country_code": "US",
            "telephone_number": "571-370-5538",
            "fax_number": "571-370-5539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Centreville Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201212626",
            "country_code": "US",
            "telephone_number": "571-549-8577",
            "fax_number": "571-549-8578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6230 Rolling Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522326",
            "country_code": "US",
            "telephone_number": "571-899-3235",
            "fax_number": "571-899-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INOVA UCC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INOVA HEALTHCARE SERVICES",
        "enumeration_date": "2022-07-26",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "571-472-8717"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.