JONATHAN STODDARD (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1699125260
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for JONATHAN STODDARD (M.D.)
9300 DeWitt Loop
Fort Belvoir, VA 220605285
Phone: (571) 231-1994
Type: Location
37595 7 MILE RD STE 210
LIVONIA, MI 481521489
Phone: (734) 853-5694
Fax: (734) 430-9388
Type: Location
Carl R. Darnall Army Medical Center, 36065, Santa Fe Avenue, Bell County, Texas, 76544, United States
FORT HOOD, TX 765445060
Phone: (248) 941-1515
Type: Mailing
Fort Belvoir Community Hospital, 9300, DeWitt Loop, Fort Belvoir South Post, Fort Belvoir, Woodlawn, Fairfax County, Virginia, 22060, United States
FORT BELVOIR, VA 220605285
Phone: (571) 231-1994
Type: Location
24 FRANK LLOYD WRIGHT DR STE J2000
ANN ARBOR, MI 481059484
Phone: (734) 747-6766
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250403000377 | I | Family Practice | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Family Practice, Obstetrics/Gynecology | MI |
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