Active NPI
Elizabeth Munter Lavery, M.D.
- Obstetrics & Gynecology Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101255932
- Practice address
- 8640 Sudley Rd
Suite 303
Manassas, VA 20110-4420 - Phone
- (703) 361-7778
- Fax
- (703) 361-1811
- NPI assigned
- Feb 5, 2009
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116022748 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101255932 | VA | Primary |
Addresses
Primary practice location
8640 Sudley Rd
Suite 303
Manassas, VA 20110-4420
Mailing address
PO Box 748613
Atlanta, GA 30384-0447
Phone (434) 295-1000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elavery196235@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8640 Sudley Rd
Suite 303
Manassas, VA 20110-4404
Phone (571) 261-3529
Hospital & facility affiliations
- Uva Health Prince William Medical Center
- Uva Health Haymarket Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101255932 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMG Affiliate Practice I, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Past | Accepting new patients |
Locations
15195 Heathcote Blvd
Ste 320
Haymarket, VA 20169
Phone (571) 261-3529
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8640 Sudley Rd
Ste 303
Manassas, VA 20110
Phone (703) 361-7778
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
- Family Medicine Physician
- Warrenton, VA
- NPI 1154796373
-
- Family Medicine Physician
- Manassas, VA
- NPI 1366744039
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1710126321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748613",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840447",
"telephone_number": "434-295-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8640 SUDLEY RD",
"address_2": "SUITE 303",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104420",
"telephone_number": "703-361-7778",
"fax_number": "703-361-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERY",
"first_name": "ELIZABETH",
"middle_name": "MUNTER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-05",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116022748",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101255932",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elavery196235@direct.novanthealth.org",
"affiliation": "N",
"address_1": "8640 Sudley Rd",
"address_2": "Suite 303",
"city": "Manassas",
"state": "VA",
"country_code": "US",
"postal_code": "201104420",
"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 Feb 2, 2024; 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.