NPIMap

Organization Active NPI

Virginia Spine Specialists, PLLC

  • Neurological Surgery Physician
  • Fredericksburg, VA
National Provider Identifier
1831885086
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
VIRGINIA SPINE SPECIALISTS, PLLC
Practice address
4604 Spotsylvania Pkwy Ste 300
Fredericksburg, VA 22408-7766
Phone
(571) 921-4877
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Mudit SharmaNPI 1285700369
Title
Owner
Phone
(571) 921-4877

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
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4604 Spotsylvania Pkwy Ste 300
Fredericksburg, VA 22408-7766

Mailing address

9625 Surveyor CT Ste 320
Manassas, VA 20110-4408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250418000315 VA DME Supplier - Physician - Neurosurgery 0840451100 Practice locations: Fredericksburg, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

4701 Spotsylvania Pkwy
Ste 200
Fredericksburg, VA 22407
Phone (540) 834-5420

Practitioners & affiliated clinicians

Practitioners 8

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": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1831885086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR CT STE 320",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 SPOTSYLVANIA PKWY STE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087766",
            "telephone_number": "571-921-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SPINE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MUDIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-921-4877"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.