Active NPI
Laurie Susan Markin, MD
- Family Medicine Physician
- Centreville, VA
National Provider Identifier
1629037171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101053965
- Practice address
- 5645 Stone Rd
Centreville, VA 20120-1618 - Phone
- (703) 266-2442
- Fax
- (703) 266-7158
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101053965 | VA | Primary |
Addresses
Primary practice location
5645 Stone Rd
Centreville, VA 20120-1618
Mailing address
5645 Stone Rd
Centreville, VA 20120-1618
Phone (703) 266-2442
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0181539 | Other | VA | UNITED HEALTHCARE |
| 5615712 | Medicaid | VA | |
| 80940004 | Other | VA | CAREFIRST |
| 502653 | Other | VA | NCPPO |
| 288721 | Other | VA | MAMSI |
| 5565205 | Other | VA | AETNA |
| 383307 | Other | VA | BCBS ANTHEM |
| 746938 | Other | VA | ONE HEALTH PLAN |
Other names 1
- Ms. Laurie Susan Teller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Icahn School of Medicine at Mount Sinai, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5645 Stone Rd
Centreville, VA 20120-1618
Phone (703) 266-2442
Hospital & facility affiliations
- Inova Home Health LLC
- Livinrite Home Health Services
- Inova Fairfax Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Run Family Medicine Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5645 Stone Rd
Centreville, VA 20120
Phone (703) 266-2442
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- 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.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- Home Health Agency
- Manassas, VA
- NPI 1033140074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1629037171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 STONE RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201618",
"telephone_number": "703-266-2442",
"fax_number": "703-266-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 STONE RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201618",
"telephone_number": "703-266-2442",
"fax_number": "703-266-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKIN",
"first_name": "LAURIE",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101053965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0181539",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5615712",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "80940004",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "502653",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "288721",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5565205",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ANTHEM",
"identifier": "383307",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "746938",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "TELLER",
"middle_name": "SUSAN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.