Individual provider Active NPI

Alyson Clendenny

  • Family Medicine Physician
  • Ashburn, VA
National Provider Identifier
1811681307
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024187296 Issued in VA
Practice address
41816 Fenway Cir
Ashburn, VA 20148-8069
Phone
(347) 761-7200
NPI assigned
Jun 7, 2023
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0024187296 VA Primary

Addresses

Primary practice location

41816 Fenway Cir
Ashburn, VA 20148-8069

Mailing address

72 Forest LN
Mineral, VA 23117-4679
Phone (703) 967-6163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230629002594 DC Practitioner - Nurse Practitioner 3577922186 Reassigns benefits to 1 organization
I20230630003197 VA Practitioner - Nurse Practitioner 3577922186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

9640 Burke Lake Rd
Burke, VA 22015-3022
Phone (703) 425-9765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
79.46
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024187296VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Sep 23, 2025 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1811681307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FOREST LN",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231174679",
            "telephone_number": "703-967-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41816 FENWAY CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488069",
            "telephone_number": "347-761-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENDENNY",
        "first_name": "ALYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024187296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.