Active NPI
Su Chong Weber, M.D.
- Family Medicine Physician
- Sterling, VA
National Provider Identifier
1659417632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101237483
- Practice address
- 46200 Potomac Run PLZ
Sterling, VA 20164-6622 - Phone
- (571) 313-5087
- NPI assigned
- Jan 29, 2007
- 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 | 0101237483 | VA | Primary |
Addresses
Primary practice location
46200 Potomac Run PLZ
Sterling, VA 20164-6622
Mailing address
3020 W Ann Rd
N Las Vegas, NV 89031-7259
Other practice location 1
120 Monticello Ave
Michumi, PLLC, dba MD Express
Williamsburg, VA 23185-2840
Phone (757) 564-3627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237483 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Family Medicine | Past | Accepting new patients |
| Riverside Physician Services, Inc. | Past | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients | |
| Peninsula Radiological Associates Limited | Past | Accepting new patients |
Interoperability endpoints
- su.weber.1@19957.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Newport News, VA
- NPI 1114030426
-
dba Bruton Avenue Family Practice
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
-
dba Riverside Gastroenterology Specialists Williamsburg
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Emergency Medicine Physician
- Newport News, VA
- NPI 1487771655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1659417632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 W ANN RD",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890317259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46200 POTOMAC RUN PLZ",
"city": "STERLING",
"state": "VA",
"postal_code": "201646622",
"telephone_number": "571-313-5087"
}
],
"practiceLocations": [
{
"address_1": "120 Monticello Ave",
"address_2": "Michumi, PLLC, dba MD Express",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231852840",
"country_code": "US",
"telephone_number": "757-564-3627",
"fax_number": "757-564-6449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "SU CHONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101237483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.