Kidney Diseases, Hypertension and Primary Care of Virginia, LLC – Nephrology Physician, NPI 1467479162
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Kidney Diseases, Hypertension and Primary Care of Virginia, LLC
1985 AIKEN HILL COURT
FALLS CHURCH, VA 220431548
Phone: (703) 444-5084
Fax: (703) 444-4548
Type: Mailing
Northern Virginia Doctors Medical Center, 611, South Carlin Springs Road, Glencarlyn, Arlington, Arlington County, Virginia, 22204, United States
301
ARLINGTON, VA 222041064
Phone: (703) 998-0480
Fax: (703) 379-0449
Type: Location
611 S CARLIN SPRINGS RD STE 203
ARLINGTON, VA 222041078
Phone: (703) 998-0480
Fax: (703) 888-2971
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: 2011-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (20 days away).
Enrollment records
2
Earliest due date
2026-06-30
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 |
|---|---|---|---|---|
| O20041116000429 | O | Clinic/Group Practice | DC | 2026-06-30 |
| O20111111000461 | O | Clinic/Group Practice | VA | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 22043)
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