Organization Active NPI

Neurovirginia, PLC

  • Neurological Surgery Physician
  • Arlington, VA
National Provider Identifier
1659692572
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101247411 Issued in VA
Legal business name
NEUROVIRGINIA, PLC
Practice address
1635 N George Mason Dr Ste 480
Arlington, VA 22205-3676
Phone
(703) 248-0111
Fax
(703) 248-0046
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Ariel K Hester, CMPE, HITCM-PP
Title
Practice Administrator
Phone
(703) 248-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 0101247411 VA Primary

Addresses

Primary practice location

1635 N George Mason Dr Ste 480
Arlington, VA 22205-3676

Mailing address

1635 N George Mason Dr Ste 480
Arlington, VA 22205-3676
Phone (703) 248-0111

Other practice location 1

1850 Town Center Pkwy Ste 559
Reston, VA 20190-3300
Phone (703) 248-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220001124 DC Part B Supplier - Clinic/Group Practice 3173711934 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

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": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1659692572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR STE 480",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053676",
            "telephone_number": "703-248-0111",
            "fax_number": "703-248-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR STE 480",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053676",
            "telephone_number": "703-248-0111",
            "fax_number": "703-248-0046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Town Center Pkwy Ste 559",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903300",
            "country_code": "US",
            "telephone_number": "703-248-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROVIRGINIA, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-248-0111",
        "authorized_official_credential": "CMPE, HITCM-PP"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101247411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.