Active NPI
Potomac Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Ashburn, VA
National Provider Identifier
1568473544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- POTOMAC MEDICAL EQUIPMENT
- Practice address
- 44330 Premier PLZ Ste 100
Ashburn, VA 20147-5071 - Phone
- (703) 858-3243
- Fax
- (703) 858-4377
- NPI assigned
- Aug 11, 2006
- Last updated
- Mar 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John T Dwyer
- Title
- Pres
- Phone
- (703) 858-3243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
44330 Premier PLZ Ste 100
Ashburn, VA 20147-5071
Mailing address
20605 Marsh CT
Sterling, VA 20165
Phone (703) 858-3243
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009118713 | Medicaid | VA | |
| 91-1871-3 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930081362 | VA | DME Supplier - Medical Supply Company | 3779604129 | Practice locations: Ashburn, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Potomac Medical Equipment | Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
44330 Premier Plz
Ste 100
Ashburn, VA 20147
Phone (434) 270-4609
19415 Deerfield Ave
Ste 204
Lansdowne, VA 20176
Phone (703) 858-3243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1568473544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20605 MARSH CT",
"city": "STERLING",
"state": "VA",
"postal_code": "20165",
"telephone_number": "703-858-3243",
"fax_number": "703-858-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44330 PREMIER PLZ STE 100",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475071",
"telephone_number": "703-858-3243",
"fax_number": "703-858-4377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POTOMAC MEDICAL EQUIPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "DWYER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "703-858-3243",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009118713",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91-1871-3",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
- Francesca Ann Ponchione, D.M.D.
- Elizabeth Rose Poole, LMT
- Sarah Elizabeth Porco, RN (COMPACT LICENSE)
- Ashley Porter, MASSAGE THERAPIST
- Nicolas Pablo Posa, PT, DPT
- Potomac Psychological Center, LLC
- Neha Potphode, BEHAVIOR TECHNICIAN
- Katie Elizabeth Pounder
- Tracey Dove Powell, MS, LPC
- Annie Pratt, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.