NPIMap

Individual provider Active NPI

Leah Dawn Kroeger, M.D.

  • Neurology Physician
  • Manassas, VA
National Provider Identifier
1588692586
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101239645 Issued in VA
Practice address
8650 Sudley Rd
Suite 309
Manassas, VA 20110
Phone
(703) 366-2799
NPI assigned
Jun 29, 2006
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101239645 VA Primary

Addresses

Primary practice location

8650 Sudley Rd
Suite 309
Manassas, VA 20110

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (571) 284-1140

Other practice location 1

8650 Sudley Rd
Suite 309
Manassas, VA 20110-4419
Phone (703) 366-2799

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkroeger551526@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061212000233 VA Practitioner - Neurology 6709885148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

15195 Heathcote Blvd
Suite 350
Haymarket, VA 20169-6244
Phone (571) 261-3270

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101239645VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC Neurology CurrentSince Jul 1, 2018 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jul 1, 2018 Accepting new patients
NMG Affiliate Practice I, LLC Past Accepting new patients
Manassas Neurology Associates PLLC Neurology Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

15195 Heathcote Blvd
Ste 350
Haymarket, VA 20169
Phone (571) 284-3180

8644 Sudley Rd
Ste 315
Manassas, VA 20110
Phone (703) 369-8055

Interoperability endpoints

  • Direct secure messaging: lkroeger516879@direct.healthsystem.virginia.edu
  • Direct secure messaging: lkroeger551526@direct.novanthealth.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1588692586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "571-284-1140",
            "fax_number": "703-753-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 SUDLEY RD",
            "address_2": "SUITE 309",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-366-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8650 Sudley Rd",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104419",
            "country_code": "US",
            "telephone_number": "703-366-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "LEAH",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101239645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkroeger551526@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8650 Sudley Rd",
            "address_2": "Suite 309",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.