Active NPI
Northern Virginia Heart & Vascular Center, LLC
- Ambulatory Surgical Clinic/Center
- Woodbridge, VA
National Provider Identifier
1831997592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NORTHERN VIRGINIA HEART & VASCULAR CENTER, LLC
- Practice address
- 13580 Groupe Dr Ste 100
Woodbridge, VA 22192-4166 - Phone
- (703) 637-7270
- NPI assigned
- Mar 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica S Mountjoy, MBA, BSN, RN
- Title
- Administrator
- Phone
- (703) 637-7270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
13580 Groupe Dr Ste 100
Woodbridge, VA 22192-4166
Mailing address
13580 Groupe Dr Ste 100
Woodbridge, VA 22192-4166
Phone (703) 637-7270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250626004091 | VA | Part B Supplier - Ambulatory Surgical Center | 5496268138 | Practice locations: Woodbridge, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2325382 | Northern Virginia Heart & Vascular Center, LLC | Compliance | Dec 3, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Cardiovascular Disease Physician
- Manassas, VA
- NPI 1669982526
Member Of
-
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
Member Of
Locations
13580 Groupe Dr
Ste 100
Woodbridge, VA 22192
Phone (703) 637-7270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1831997592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13580 GROUPE DR STE 100",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924166",
"telephone_number": "703-637-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13580 GROUPE DR STE 100",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924166",
"telephone_number": "703-637-7270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN VIRGINIA HEART & VASCULAR CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-06",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "MOUNTJOY",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "703-637-7270",
"authorized_official_credential": "MBA, BSN, RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
- North Virginia Family Practice PC
- Northern Virginia Anesthesia Assoc.
- Northern Virginia Area Bariatric Consultants
- Northern Virginia Endoscopy Center
- Northern Virginia Eye Associates, PC
- Northern Virginia Hematology Oncology Associates PC
- Northern Virginia Neurology, PLLC
- Northern Virginia Physical Therapy
- Norvin'S Link LLC.
- Veronique Tayou Kamegne Noubissie
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.