GASTROINTESTINAL SPECIALISTS LLC – Gastroenterology Physician, NPI 1063516672
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GASTROINTESTINAL SPECIALISTS LLC
8525 Rolling Rd Ste 220
Manassas, VA 201103648
Phone: (703) 680-2111
Fax: (703) 878-3939
Type: Location
251 National Harbor Blvd Ste 400A
Oxon Hill, MD 207451052
Phone: (703) 680-2111
Fax: (703) 878-3939
Type: Location
1800 N Beauregard St Ste 300
Alexandria, VA 223115879
Phone: (703) 680-2111
Fax: (703) 878-3939
Type: Location
2296 Opitz Blvd Ste 350
Woodbridge, VA 221913346
Phone: (703) 680-2111
Fax: (703) 878-3939
Type: Location
2369 STAPLES MILL RD STE 200
RICHMOND, VA 232302918
Phone: (804) 285-4465
Type: Mailing
19415 Deerfield Ave Ste 112
Leesburg, VA 201768470
Phone: (703) 724-1195
Type: Location
3700 Joseph Siedwick Dr
Suite 300
Fairfax, VA 22033
Phone: (703) 680-2111
Fax: (703) 878-3939
Type: Location
19500 Sandridge Way Ste 300
Leesburg, VA 201763690
Phone: (571) 577-8920
Type: Location
1801 Robert Fulton Dr Ste 510
Reston, VA 201915481
Phone: (703) 783-5355
Type: Location
2755 Hartland Rd Ste 110
Falls Church, VA 220433545
Phone: (703) 783-5353
Fax: (703) 878-3939
Type: Location
224D Cornwall St NW Ste 400
Leesburg, VA 201762704
Phone: (703) 443-6733
Type: Location
24430 Stone Springs Blvd Ste 525
Dulles, VA 201662267
Phone: (703) 957-1022
Type: Location
1860 Town Center Dr Ste 150
Reston, VA 201905905
Phone: (703) 480-0220
Type: Location
Staples Mill Road, Colonial Place, West End, Richmond, Virginia, 23230, United States
SUITE 200
RICHMOND, VA 232302918
Phone: (804) 285-4465
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: 2026-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (864 days ago).
Enrollment records
2
Earliest due date
2024-01-31
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 |
|---|---|---|---|---|
| O20041103001190 | O | Clinic/Group Practice | VA | 2024-01-31 |
| O20260205000008 | O | Clinic/Group Practice | DC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 20110)
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