THE NATIONAL SPORTS MEDICINE INSTITUTE,PC – Orthopaedic Surgery Physician, NPI 1790815645

THE NATIONAL SPORTS MEDICINE INSTITUTE,PC is a healthcare provider. based in Lansdowne, Virginia. specializing in Orthopaedic Surgery Physician. The NPI Number for THE NATIONAL SPORTS MEDICINE INSTITUTE,PC is 1790815645

Main info

Organization
Name
THE NATIONAL SPORTS MEDICINE INSTITUTE,PC
NPI
1790815645
Phone
(703) 729-5010
Address
19455 DEERFIELD AVE
Authorized Official
DAVID CHARLES JOHNSON PRESIDENT M.D.
Enumeration Date
7 March 2007
Last Update Date
23 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for THE NATIONAL SPORTS MEDICINE INSTITUTE,PC

  • 19455 DEERFIELD AVE

    SUITE 312

    LANSDOWNE, VA 201768102

    Phone: (703) 729-5010

    Fax: (703) 729-5833

    Mailing address matches the actual address.

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: 2017-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (773 days ago).

Enrollment records

3

Earliest due date

2024-04-30

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
O20080408000710OClinic/Group PracticeVATBD
O20100930084404OPhysician - General SurgeryVA2024-04-30
O20170601000944OClinic/Group PracticeMD2024-04-30

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.

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 20176)

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Reviews

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Frequently asked questions

What unique ID ties claims to THE NATIONAL SPORTS MEDICINE INSTITUTE,PC?
NPI 1790815645 is assigned to THE NATIONAL SPORTS MEDICINE INSTITUTE,PC under the national enumeration system.
Is THE NATIONAL SPORTS MEDICINE INSTITUTE,PC's NPI currently valid?
The extract we use shows THE NATIONAL SPORTS MEDICINE INSTITUTE,PC as active.
Does THE NATIONAL SPORTS MEDICINE INSTITUTE,PC list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for THE NATIONAL SPORTS MEDICINE INSTITUTE,PC. Clinical services aligned with this taxonomy classification.
What location metadata exists for THE NATIONAL SPORTS MEDICINE INSTITUTE,PC?
The page summarizes Lansdowne, Virginia for THE NATIONAL SPORTS MEDICINE INSTITUTE,PC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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