MARY WASHINGTON HEALTHCARE SPECIALTY SERVICES LLC – Anesthesiology Physician, NPI 1821033010
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARY WASHINGTON HEALTHCARE SPECIALTY SERVICES LLC
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone: (540) 741-1100
Type: Location
101 Hospital Center Blvd
Stafford, VA 225546200
Phone: (540) 741-1100
Type: Location
1201 Sam Perry Blvd Ste 201
Fredericksburg, VA 224014491
Phone: (540) 741-1100
Type: Location
2300 FALL HILL AVE STE 312
FREDERICKSBURG, VA 224013343
Phone: (540) 741-2277
Fax: (540) 741-1029
Type: Mailing
1340 CENTRAL PARK BLVD STE 100
FREDERICKSBURG, VA 224014940
Phone:
Type: Mailing
Mary Washington Hospital, 1001, Sam Perry Boulevard, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
FREDERICKSBURG, VA 22401
Phone: (540) 741-1041
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: 2004-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (771 days ago).
Enrollment records
1
Earliest due date
2024-04-30
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 |
|---|---|---|---|---|
| O20040108001127 | O | Clinic/Group Practice | VA | 2024-04-30 |
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.
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 22401)
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