Individual provider Active NPI

Su Fairchild, MD

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1861488074
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD069929L Issued in PA
Practice address
2251 Valley Ave
Winchester, VA 22601-2755
Phone
(540) 215-2211
Fax
(888) 414-5264
NPI assigned
Sep 22, 2005
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X MD069929L PA
Addiction Medicine (Family Medicine) Physician 207QA0401X 0101250992 VA
Adult Medicine Physician 207QA0505X 0101250992 VA
Family Medicine Physician 207Q00000X MD069929L PA Primary

Addresses

Primary practice location

2251 Valley Ave
Winchester, VA 22601-2755

Mailing address

PO Box 974
Bloomsburg, PA 17815-0974
Phone (570) 391-0104

Other practice location 1

6138 Redwood Square Ctr Ste 204
Centreville, VA 20121-4264
Phone (703) 229-5453

Other identifiers 1

IdentifierTypeStateIssuer
001122151MedicaidPA

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
I20220630002444 VA Practitioner - Family PracticePractitioner - Addiction Medicine 1658550777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Medical College of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vamed Health Group LLCGroup PAC ID 2668852120, 3 clinicians

Practice addresses (Care Compare)

2281 Valley Ave
Winchester, VA 22601-2755
Phone (540) 215-2211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD069929LPAMDFamily Medicine Physician
0101250992VAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vamed Health Group LLC Addiction Medicine CurrentSince May 1, 2022 Accepting new patients
Professional Management Services, LLC Addiction Medicine PastSince Oct 1, 2019 Accepting new patients

Locations

6138 Redwood Square Ctr
Ste 204
Centreville, VA 20121
Phone (703) 229-5453

132 Peyton St
Front Royal, VA 22630
Phone (540) 215-2211

2281 Valley Ave
Winchester, VA 22601
Phone (540) 215-2211

2251 Valley Ave
Winchester, VA 22601
Phone (540) 215-2211

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1861488074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178150974",
            "telephone_number": "570-391-0104",
            "fax_number": "888-414-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012755",
            "telephone_number": "540-215-2211",
            "fax_number": "888-414-5264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6138 Redwood Square Ctr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201214264",
            "country_code": "US",
            "telephone_number": "703-229-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "SU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD069929L",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101250992",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101250992",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD069929L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001122151",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.