Individual provider Active NPI

Constantine N. Chienku, M.D.

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1831139336
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101230316 Issued in VA
Practice address
14087 Richmond Hwy Unit 101
Woodbridge, VA 22191
Phone
(571) 300-8000
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 010266823 VA
Family Medicine Physician 207Q00000X 0101230316 VA Primary

Addresses

Primary practice location

14087 Richmond Hwy Unit 101
Woodbridge, VA 22191

Mailing address

4701 Yowell Lane
Marshall, VA 20115
Phone (540) 364-4398

Other practice location 1

9276 Old Keene Mill Rd
Burke, VA 22015-4201
Phone (571) 516-3116

Other practice location 2

1964 Gallows Rd Ste 300
Vienna, VA 22182-3814
Phone (703) 712-7199

Other identifiers 10

IdentifierTypeStateIssuer
437472OtherVASOUTHERN HEALTH
541182305OtherVAUNITED HEALTHCARE
199786OtherVAANTHEM
010266823MedicaidVA
305773MedicaidVA
8146917OtherVAMAMSI
2146917OtherVAMAMSI
3052918OtherVACIGNA
541182305OtherVATRICARE
752699OtherVANCPPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110426000300 VA Practitioner - Pediatric Medicine 4385829902 Reassigns benefits to 2 organizations
I20110725000080 DC Practitioner - General PracticePractitioner - Pediatric Medicine 4385829902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Greatest Care LLCGroup PAC ID 0648717512, 14 clinicians

Practice addresses (Care Compare)

14087 Richmond Hwy
Suite 101
Woodbridge, VA 22191-2171
Phone (571) 300-8000

9276 Old Keene Mill Rd
Burke, VA 22015-4201
Phone (571) 516-3116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230316VAMDFamily Medicine Physician
010266823VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Greatest Care LLC Family Medicine CurrentSince Jun 23, 2024 Accepting new patients
Roanoke Valley Healthcare Partners, LLC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Virginia Hospitalists Inc Past Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince May 1, 2022 Accepting new patients
American Greatest Care LLC Past Accepting new patients
Ignaz P Jarbadan MD PC PastSince Jun 25, 2011 Accepting new patients
Child Health Associates, LTD. Pediatrics Past Accepting new patients

Locations

9276 Old Keene Mill Rd
Burke, VA 22015
Phone (571) 516-3116

9276 Old Keene Mill Rd
Apt 316
Burke, VA 22015

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

14087 Richmond Hwy
Woodbridge, VA 22191
Phone (571) 300-8000

14087 Richmond Hwy
Ste 101
Woodbridge, VA 22191
Phone (571) 300-8000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1831139336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 YOWELL LANE",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "20115",
            "telephone_number": "540-364-4398",
            "fax_number": "540-349-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14087 RICHMOND HWY UNIT 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "571-300-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9276 Old Keene Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Burke",
            "state": "VA",
            "postal_code": "220154201",
            "country_code": "US",
            "telephone_number": "571-516-3116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1964 Gallows Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823814",
            "country_code": "US",
            "telephone_number": "703-712-7199",
            "fax_number": "703-712-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIENKU",
        "first_name": "CONSTANTINE",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "010266823",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101230316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "437472",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "541182305",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "199786",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010266823",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305773",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "8146917",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2146917",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3052918",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541182305",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "752699",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.