UVA HEALTH PEDIATRICS MANASSAS – NPI #1164990941
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

UVA HEALTH PEDIATRICS MANASSAS is a provider located in MANASSAS, VA. NPPES has assigned the NPI number 1164990941 to UVA HEALTH PEDIATRICS MANASSAS on November 09, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UVA HEALTH PEDIATRICS MANASSAS” is a dba name, the actual legal business name for this organization is UVA COMMUNITY HEALTH MEDICAL GROUP, LLC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Sep 26, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UVA HEALTH PEDIATRICS MANASSAS below.

NPI Profile for
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

NPI Number
1164990941
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Doing Business As (dba): UVA HEALTH PEDIATRICS MANASSAS
Primary location
9430 FORESTWOOD LN STE 100
MANASSAS, VA 20110-4754
Phone: (703) 365-0227 Fax:
Mailing address
PO BOX 748613
ATLANTA, GA 30384-8613
Phone: (844) 266-8268 Fax:
Organization Subpart
No
Authorized Official
CHARLES CODER
CFO
Phone: (804) 835-2069
Updated
Certification Date
Sep 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669