SU FAIRCHILD (MD) – Family Medicine Physician, NPI 1861488074

SU FAIRCHILD (MD) is a healthcare provider. based in Centreville, Virginia. specializing in FAMILY PRACTICE, ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. MD069929L (PA). The NPI Number for SU FAIRCHILD (MD) is 1861488074

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
SU FAIRCHILD (MD)
NPI
1861488074
Phone
(703) 229-5453
Address
6138 Redwood Square Ctr Ste 204
Enumeration Date
22 September 2005
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
5402152211
Graduation Year
1997 (29 years ago)
PAC ID
1658550777
Group Practice PAC ID
2668852120
Professional Enrollment ID
I20220630002444
Address ID
VA226012755WI2281XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:20State licenses:2Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for SU FAIRCHILD (MD)

  • 6138 Redwood Square Ctr Ste 204

    Centreville, VA 201214264

    Phone: (703) 229-5453

    Type: Location

  • PO BOX 974

    BLOOMSBURG, PA 178150974

    Phone: (570) 391-0104

    Fax: (888) 414-5264

    Type: Mailing

  • 6138 REDWOOD SQUARE CTR STE 204

    CENTREVILLE, VA 201214264

    Phone: (703) 229-5453

    Type: Location

  • 2251 VALLEY AVE

    WINCHESTER, VA 226012755

    Phone: (540) 215-2211

    Fax: (888) 414-5264

    Type: Location

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: 2022-06-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220630002444IFamily PracticeVATBD

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.

Verify on CMS Revalidation Lookup Tool

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 20121)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668852120View full group profile
NameSpecialtyState
Nurse PractitionerVA

Reviews

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Frequently asked questions

How is SU FAIRCHILD (MD) identified in CMS data?
CMS-hosted NPPES data lists SU FAIRCHILD (MD) with NPI 1861488074.
Does the file indicate SU FAIRCHILD (MD) is practicing under active NPI?
Directory data currently reports SU FAIRCHILD (MD) as active.
What taxonomy line describes SU FAIRCHILD (MD)?
For research purposes, treat SU FAIRCHILD (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SU FAIRCHILD (MD) list a practice location?
Patients near Centreville, Virginia may find SU FAIRCHILD (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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