Individual provider Active NPI

Frank James Giancola, MD

  • Pediatrics Physician
  • Manassas, VA
National Provider Identifier
1831190826
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101042910 Issued in VA
Practice address
8640 Sudley Rd
Suite 306
Manassas, VA 20110-4420
Phone
(703) 330-3939
Fax
(703) 331-0959
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101042910 VA Primary

Addresses

Primary practice location

8640 Sudley Rd
Suite 306
Manassas, VA 20110-4420

Mailing address

8640 Sudley Rd
Suite 306
Manassas, VA 20110-4420
Phone (703) 330-3939

Other identifiers 1

IdentifierTypeStateIssuer
6713564MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220421002245 VA Practitioner - Pediatric Medicine 2567879067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Georgetown University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8640 Sudley Rd
Suite 306
Manassas, VA 20110-4404
Phone (703) 330-3939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101042910VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatricare of Northern Virginia, P.C. Pediatrics CurrentSince Mar 29, 2021 Accepting new patients

Locations

15195 Heathcote Blvd
Ste 250
Haymarket, VA 20169
Phone (703) 330-3939

8640 Sudley Rd
Ste 306
Manassas, VA 20110
Phone (703) 330-3939

Organizations & group practices 1

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1831190826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD",
            "address_2": "SUITE 306",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104420",
            "telephone_number": "703-330-3939",
            "fax_number": "703-331-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD",
            "address_2": "SUITE 306",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104420",
            "telephone_number": "703-330-3939",
            "fax_number": "703-331-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANCOLA",
        "first_name": "FRANK",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-09-06",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101042910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6713564",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.