ALTMED MEDICAL CENTER, INC – Addiction Medicine (Preventive Medicine) Physician, NPI 1154561389
Addiction Medicine (Preventive Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALTMED MEDICAL CENTER, INC
7524 DIPLOMAT DR STE 101
MANASSAS, VA 201092685
Phone: (703) 361-4357
Fax: (703) 361-0346
Type: Mailing
P.O. BOX 2041
MANASSAS, VA 201080815
Phone: (703) 361-4357
Fax: (703) 361-0346
Type: Mailing
8551 RIXLEW LANE
SUITE 140
MANASSAS, VA 201094278
Phone: (703) 361-4357
Fax: (703) 361-0346
Type: Location
8700, Old Branch Avenue, Clinton, Prince George's County, Maryland, 20735, United States
CLINTON, MD 207352522
Phone: (301) 868-2760
Fax: (301) 868-1210
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: 2011-05-17
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 |
|---|---|---|---|---|
| O20110517000171 | O | Clinic/Group Practice | VA | 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 20109)
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