Organization Active NPI

Potomac Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Ashburn, VA
National Provider Identifier
1568473544
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009118713MedicaidVA
91-1871-3MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930081362 VA DME Supplier - Medical Supply Company 3779604129 Practice locations: Ashburn, VA

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Potomac Medical Equipment44330 Premier PLZ, Ashburn, VA 20147-5071(703) 858-3243 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 assignmentParticipating since Jul 20, 1999

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.