NPIMap

Individual provider Active NPI

Marianne Zuggo-Liszka, MD

  • Internal Medicine Physician
  • Aldie, VA
National Provider Identifier
1720051170
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101236479 Issued in VA
Practice address
24430 Millstream Drive
Middleburg Geriatrics, PLC
Aldie, VA 20105-0000
Phone
(571) 262-9755
Fax
(703) 957-2388
NPI assigned
Feb 8, 2006
Last updated
Mar 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101236479 VA Primary

Addresses

Primary practice location

24430 Millstream Drive
Middleburg Geriatrics, PLC
Aldie, VA 20105-0000

Mailing address

24164 New Mountain Road
Aldie, VA 20105-0000
Phone (571) 262-9755

Other identifiers 1

IdentifierTypeStateIssuer
1720051170MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000065 VA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Geriatric Medicine 2668450131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Virginia LLCGroup PAC ID 5698842235, 76 clinicians

Practice addresses (Care Compare)

333 W Cork St
Winchester, VA 22601-3870
Phone (540) 536-5114

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101236479VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hospitalist Medicine Physicians of Front Royal, LLC Internal Medicine Past Accepting new patients
Middleburg Geriatrics, PLC PastSince Aug 15, 2010 Accepting new patients
Tidewater Medical Care PC PastSince Feb 9, 2009 Accepting new patients

Locations

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1720051170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24164 NEW MOUNTAIN ROAD",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201050000",
            "telephone_number": "571-262-9755",
            "fax_number": "703-957-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 MILLSTREAM DRIVE",
            "address_2": "MIDDLEBURG GERIATRICS, PLC",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201050000",
            "telephone_number": "571-262-9755",
            "fax_number": "703-957-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUGGO-LISZKA",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101236479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720051170",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

Verify at the official NPI Registry.