Organization Active NPI

Nova Children'S Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fairfax, VA
National Provider Identifier
1881399327
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NOVA CHILDREN'S SURGERY CENTER, LLC
Practice address
8505 Arlington Blvd Ste 100
Fairfax, VA 22031-4630
Phone
(301) 494-3000
Fax
(301) 494-3333
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Jeffrey Wheeler
Title
Ceo
Phone
(301) 494-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

8505 Arlington Blvd Ste 100
Fairfax, VA 22031-4630

Mailing address

1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338
Phone (301) 494-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230817002283 DC Part B Supplier - Ambulatory Surgical Center 8628430964 Practice locations: Fairfax, VA

Ambulatory surgical center certification: CCN 49C0001114

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NOVA Children's Surgery Center, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
May 29, 2025
Last certification
May 16, 2025
Ownership / control type
Proprietary
Facility address
8505 Arlington Blvd, Ste 100
Fairfax, VA 22031

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2298100Nova Children'S Surgery Center, LLC8505 Arlington Boulevard, Suite 100, Fairfax, VA 22031Certificate of waiverJan 28, 2028
49D2331755Chesapeake Children'S Surgery Center8505 Arlington Blvd, # 100, Fairfax, VA 22031Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1881399327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CARAWAY CT STE 1050",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745338",
            "telephone_number": "301-494-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314630",
            "telephone_number": "301-494-3000",
            "fax_number": "301-494-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CHILDREN'S SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-494-3000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.