Active NPI
Amanda Elizabeth Smart
- Urology Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101279969
- Practice address
- 19415 Deerfield Avenue, Suite 112
Leesburg, VA 20176-8470 - Phone
- (703) 724-1195
- Fax
- (703) 724-4495
- NPI assigned
- Apr 5, 2019
- Last updated
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Urology Physician | 208800000X | 0101279969 | VA | Primary |
Addresses
Primary practice location
19415 Deerfield Avenue, Suite 112
Leesburg, VA 20176-8470
Mailing address
224-D Cornwall Street NW, Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other practice location 1
1860 Town Center Drive, Suite 150
Reston, VA 20190-5905
Phone (703) 480-0220
Other practice location 2
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30018093910001 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Georgetown University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1860 Town Ctr Dr
Suite 150
Reston, VA 20190-5905
Phone (703) 480-0220
19415 Deerfield Ave
Suite 112
Leesburg, VA 20176-8470
Phone (703) 724-1195
224 D Cornwall St NW
Suite 400
Leesburg, VA 20176-2704
Phone (703) 443-6733
24430 Stone Springs Blvd
Suite 525
Dulles, VA 20166-2267
Phone (703) 957-1022
6602 W Broad St
Suite B
Richmond, VA 23230-1702
Phone (804) 285-8206
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101279969 | VA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Specialists LLC | Urology | Current | Accepting new patients |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Urology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
24430 Stone Springs Blvd
Ste 545
Dulles, VA 20166
Phone (703) 957-1022
19415 Deerfield Ave
Ste 112
Leesburg, VA 20176
Phone (703) 724-1195
224D Cornwall St NW
Ste 400
Leesburg, VA 20176
Phone (703) 443-6733
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
1860 Town Center Dr
Ste 150
Reston, VA 20190
Phone (703) 480-0220
6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137
24430 Stone Springs Blvd
Ste 100
Sterling, VA 20166
Phone (703) 723-6774
Interoperability endpoints
- amanda.smart@lmg1.eclinicaldirectplus.com
- asmart19922@gwmfa.direct-ci.com
Organizations & group practices 5
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.
-
dba Urogynecology Center of Northern Virginia
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Reston, VA
- NPI 1407908817
DC
-
dba Loudoun Medical Group, PC 'D'
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba StoneSprings Hospital Center
- General Acute Care Hospital
- Dulles, VA
- NPI 1972904738
-
dba Reston Hospital Center
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1528520681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224-D CORNWALL STREET NW, SUITE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762704",
"telephone_number": "703-737-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19415 DEERFIELD AVENUE, SUITE 112",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768470",
"telephone_number": "703-724-1195",
"fax_number": "703-724-4495"
}
],
"practiceLocations": [
{
"address_1": "1860 Town Center Drive, Suite 150",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201905905",
"country_code": "US",
"telephone_number": "703-480-0220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2150 Pennsylvania Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200373201",
"country_code": "US",
"telephone_number": "202-741-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMART",
"first_name": "AMANDA",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-05",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101279969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30018093910001",
"state": "VA"
}
],
"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 Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.