Organization Active NPI

Vienna Neurological Institute PLLC

  • Neurology Physician
  • Vienna, VA
National Provider Identifier
1821798349
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
VIENNA NEUROLOGICAL INSTITUTE PLLC
Practice address
8245 Boone Blvd Ste 540
Vienna, VA 22182-3847
Phone
(813) 220-4845
NPI assigned
Mar 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Adam B Lewis, MDNPI 1891134219
Title
Owner
Phone
(813) 220-4845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

8245 Boone Blvd Ste 540
Vienna, VA 22182-3847

Mailing address

8245 Boone Blvd Ste 540
Vienna, VA 22182-3847
Phone (813) 220-4845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230526000644 DC Part B Supplier - Clinic/Group Practice 6002273596 Receives reassigned benefits from 2 practitioners
Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

8245 Boone Blvd
Ste 540
Vienna, VA 22182
Phone (571) 290-7939

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1821798349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 BOONE BLVD STE 540",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823847",
            "telephone_number": "813-220-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 BOONE BLVD STE 540",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823847",
            "telephone_number": "813-220-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA NEUROLOGICAL INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-220-4845",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.