Active NPI
Vivian A Nzedu, MD
- Pediatrics Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101242598
- Practice address
- 9430 Forestwood LN Ste 100
Manassas, VA 20110-4754 - Phone
- (703) 365-0227
- Fax
- (703) 365-0332
- NPI assigned
- Mar 11, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101242598 | VA | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 23739 | OK | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 0101242598 | VA |
Addresses
Primary practice location
9430 Forestwood LN Ste 100
Manassas, VA 20110-4754
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
940 NE 13th St
1B1206
Oklahoma City, OK 73104-5008
Phone (405) 271-4881
Other practice location 2
1850 Town Center Pkwy
Reston, VA 20190-3204
Phone (240) 686-2300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vnzedu306753@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242598 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uva Community Health Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Pediatrics | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Pediatrics | Past | Accepting new patients |
| Uva Community Health Medical Group, LLC | Past | Accepting new patients |
Locations
20010 Century Blvd
Ste 200
Germantown, MD 20874
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
8180 Stonewall Shops Sq
Gainesville, VA 20155
Phone (703) 365-0227
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
9430 Forestwood Ln
Ste 100
Manassas, VA 20110
Phone (571) 284-1430
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, Pediatrics
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
- Emergency Medicine Physician
- Franklin, VA
- NPI 1740529700
DC
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
dba UVA Health Pediatrics Manassas
- Pediatrics Physician
- Manassas, VA
- NPI 1164990941
-
dba UVA Health Bull Run Family Medicine Manassas
- Family Medicine Physician
- Manassas, VA
- NPI 1366744039
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1659349975",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 FORESTWOOD LN STE 100",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104754",
"telephone_number": "703-365-0227",
"fax_number": "703-365-0332"
}
],
"practiceLocations": [
{
"address_1": "940 NE 13th St",
"address_2": "1B1206",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045008",
"country_code": "US",
"telephone_number": "405-271-4881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 Town Center Pkwy",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201903204",
"country_code": "US",
"telephone_number": "240-686-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NZEDU",
"first_name": "VIVIAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-11",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101242598",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "OK",
"license": "23739",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "VA",
"license": "0101242598",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vnzedu306753@direct.novanthealth.org",
"affiliation": "N",
"address_1": "9430 Forestwood Ln Ste 100",
"city": "Manassas",
"state": "VA",
"country_code": "US",
"postal_code": "201104754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.