NPIMap

Organization Active NPI

The Medical Team Inc

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Reston, VA
National Provider Identifier
1780475046
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
Legal business name
THE MEDICAL TEAM INC
Practice address
1896 Preston White Dr
Reston, VA 20191-4325
Phone
(703) 390-2300
NPI assigned
May 15, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Jennifer Stiltner
Title
Corporate Director
Phone
(703) 390-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X Primary

Addresses

Primary practice location

1896 Preston White Dr
Reston, VA 20191-4325

Mailing address

1896 Preston White Dr
Reston, VA 20191-4325
Phone (703) 390-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250731001916 VA Part B Supplier - Clinic/Group Practice 9638089972 Receives reassigned benefits from 2 practitioners
Practice locations: Reston, VA

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Medical Team Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Medical Team, Inc.Flint, MI, CCN 231631 Hospice Operational/Managerial Control (100%) Apr 17, 2014
The Medical Team, Inc.Grand Rapids, MI, CCN 231656 Hospice Operational/Managerial Control (100%) Jun 2, 1983
The Medical Team, Inc.Reston, VA, CCN 491623 Hospice Operational/Managerial Control (100%) Jun 2, 1983
The Medical Team, Inc.San Antonio, TX, CCN 741714 Hospice Operational/Managerial Control Jun 2, 1983

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1780475046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 PRESTON WHITE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914325",
            "telephone_number": "703-390-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 PRESTON WHITE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914325",
            "telephone_number": "703-390-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL TEAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "STILTNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "703-390-2300"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.