Organization Active NPI

Loudoun Medical Group, PC

Doing business as Brita Kriss, MD

  • Surgery Physician
  • Dulles, VA
National Provider Identifier
1902562192
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LOUDOUN MEDICAL GROUP, PC
Doing business as
Brita Kriss, MD
Practice address
24430 Stone Springs Blvd, Suite 215
Dulles, VA 20166-2268
Phone
(703) 858-3200
Fax
(703) 858-3203
NPI assigned
Nov 11, 2021
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LOUDOUN MEDICAL GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Mary Beth Tamasy
Title
Ceo
Phone
(703) 737-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

24430 Stone Springs Blvd, Suite 215
Dulles, VA 20166-2268

Mailing address

224D Cornwall Street NW
Suite 403
Leesburg, VA 20176-2704
Phone (571) 707-2048

Other practice location 1

44055 Riverside Parkway
Suite 246
Leesburg, VA 20176-5178
Phone (703) 858-3200

Other names 1

  • Brita Kriss, MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John M Archer MD305 organizations share this tax ID, including this one
Part of
John M Archer MD

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1902562192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL STREET NW",
            "address_2": "SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "571-707-2048",
            "fax_number": "571-291-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD, SUITE 215",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662268",
            "telephone_number": "703-858-3200",
            "fax_number": "703-858-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44055 Riverside Parkway",
            "address_2": "Suite 246",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765178",
            "country_code": "US",
            "telephone_number": "703-858-3200",
            "fax_number": "703-858-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUDOUN MEDICAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUDOUN MEDICAL GROUP, PC",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "TAMASY",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-737-6001"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brita Kriss, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brita Kriss, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dulles, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.