NPIMap

Organization Active NPI

Virginia Center for Reproductive Medicine

  • Specialist
  • Reston, VA
National Provider Identifier
1801000625
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101058651 Issued in VA
Legal business name
VIRGINIA CENTER FOR REPRODUCTIVE MEDICINE
Practice address
11150 Sunset Hills Rd
Reston, VA 20190-5360
Phone
(703) 437-7722
Fax
(703) 437-0066
NPI assigned
May 10, 2007
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Dr. Fady I ShararaNPI 1780610352
Title
Medical Director
Phone
(703) 437-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101058651 VA Primary

Addresses

Primary practice location

11150 Sunset Hills Rd
Reston, VA 20190-5360

Mailing address

11150 Sunset Hills Rd
Suite 100
Reston, VA 20190-5360
Phone (703) 437-0066

Other identifiers 3

IdentifierTypeStateIssuer
391589OtherMAMSI OPT CHOICE MDIPA
440239OtherVAVA BLUE CROSS PROVIDER
391589OtherONE NET ALLIANCE PROVIDER

National Provider Directory

National Provider Directory

Locations

11150 Sunset Hills Rd
Reston, VA 20190
Phone (703) 437-7722

Practitioners & affiliated clinicians

Practitioners 1

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1801000625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 SUNSET HILLS RD",
            "address_2": "SUITE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905360",
            "telephone_number": "703-437-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905360",
            "telephone_number": "703-437-7722",
            "fax_number": "703-437-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CENTER FOR REPRODUCTIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "SHARARA",
        "authorized_official_first_name": "FADY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-437-7722",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101058651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI OPT CHOICE MDIPA",
            "identifier": "391589",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BLUE CROSS PROVIDER",
            "identifier": "440239",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE NET ALLIANCE PROVIDER",
            "identifier": "391589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.