Organization Active NPI

Casa Pediatrics II

  • Pediatrics Physician
  • Annandale, VA
National Provider Identifier
1639947369
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CASA PEDIATRICS II
Practice address
3301 Woodburn Rd Ste 209
Annandale, VA 22003-7303
Phone
(703) 485-0470
Fax
(703) 986-0825
NPI assigned
Dec 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Nayra Butron
Title
Manager
Phone
(703) 485-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3301 Woodburn Rd Ste 209
Annandale, VA 22003-7303

Mailing address

3301 Woodburn Rd Ste 209
Annandale, VA 22003-7303
Phone (703) 485-0470

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2298324Casa Pediatrics II3301 Woodburn Rd, Suite 209, Annandale, VA 22003Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1639947369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 209",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037303",
            "telephone_number": "703-485-0470",
            "fax_number": "703-986-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 209",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037303",
            "telephone_number": "703-485-0470",
            "fax_number": "703-986-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA PEDIATRICS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BUTRON",
        "authorized_official_first_name": "NAYRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-485-0470"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.