NPIMap

Organization Active NPI

Spotsylvania Medical Center Inc.

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
National Provider Identifier
1891156667
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SPOTSYLVANIA MEDICAL CENTER INC.
Practice address
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone
(540) 834-1506
NPI assigned
Mar 8, 2016
Organization subpart
Yes
Parent organization
SPOTSYLVANIA MEDICAL CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Sarah E Falade
Title
Cfo
Phone
(540) 776-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762

Mailing address

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (540) 834-1506

Other names 1

  • Spotsylvania Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121228000345 VA Part B Supplier - Clinic/Group Practice 1355479452 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fredericksburg, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Spotsylvania Medical Center6 organizations share this tax ID, including this one
Part of
Spotsylvania Medical Center

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5005 Plank Rd
Fredericksburg, VA 22407
Phone (540) 736-6900

4604 Spotsylvania Pkwy
Ste 120
Fredericksburg, VA 22408
Phone (540) 498-4000

4604 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 455-4083

4604 Spotsylvania Pkwy
Ste 110
Fredericksburg, VA 22408
Phone (540) 498-4030

9761 Courthouse Rd
Spotsylvania, VA 22553
Phone (540) 498-4540

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1891156667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SPOTSYLVANIA PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087762",
            "telephone_number": "540-834-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SPOTSYLVANIA PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087762",
            "telephone_number": "540-834-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTSYLVANIA MEDICAL CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOTSYLVANIA MEDICAL CENTER INC.",
        "enumeration_date": "2016-03-08",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "FALADE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-776-4000"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spotsylvania Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spotsylvania Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 9, 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.