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TERRY WATKIN M.D.
NPI 1043315369
Specialist in Reston, VA

Active since September 13, 2006PECOS Enrolled
12007 SUNRISE VALLEY DR, SUITE 120, RESTON, VA 20191(301) 624-5730(301) 624-5731 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Terry Watkin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRY WATKIN M.D. (NPI 1043315369) is an individual specialist in Reston, Virginia and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043315369
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTERRY WATKINCredential: M.D.
Location Address12007 SUNRISE VALLEY DR, SUITE 120Reston, VA 20191-3479
Mailing AddressPo Box 79429Baltimore, MD 21279-0429 · (301) 624-5730 · Fax (301) 624-5731
Phone(301) 624-5730
Fax(301) 624-5731
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043315369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12007 SUNRISE VALLEY DR, Reston, VA 20191
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Other Identifiers 10

Other283590VA · Amerigroup
Other0500138VA · United Healthcare
Other4053661VA · Aetna
Other4571 0003DC · Cf Bc Bs Dc
Medicare ID-Type Unspecified000D72N92DC
Other85488VA · Mamsi/alliance
Other244468VA · Anthem
Other505096VA · Ncppo
Other535088 02MD · Cf Bc Bs Md/nasco
Medicare UPINE36831VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terry Watkin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Terry Watkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Specialists Of Virginia, LLC
8.6 mi
Pediatrics
3023 HAMAKER CT, SUITE 200
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 128 clinicians in this Medicare group
NPI 1699119818 (703) 848-6627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEUROSCIENCE CONSULTANTS, PLC
Psychiatry & Neurology (Sleep Medicine)
12007 SUNRISE VALLEY DR, SUITE 130
RESTON, VA 20191
Fairfax County (571) 926-9158
HOME HEALTH CONNECTION, INC.
Nurse's Aide
12007 SUNRISE VALLEY DR, SUITE 103
RESTON, VA 20191
Fairfax County (703) 684-3799
RUBY ANSLEY RAINES
Counselor (Mental Health)
12007 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 522-2089
ALISA BALDERAS MARTINEZ
Counselor (Mental Health)
12007 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 522-2089
DR. BERNADETTE M LANDOLF PH.D.
Psychologist (Clinical)
12007 SUNRISE VALLEY DR, STE 220
RESTON, VA 20191
Fairfax County (703) 860-2010
MIA MACKENZIE SEBASTIAN
Counselor
12007 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 522-2089
FOSTER STROUP
Counselor (Mental Health)
12007 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 831-8300
JON D PETERS M.D.
Specialist
12007 SUNRISE VALLEY DR, SUITE 120
RESTON, VA 20191
Fairfax County (301) 624-5731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Watkin's NPI number?

The NPI number for Terry Watkin is 1043315369. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Terry Watkin located?

Terry Watkin practices at 12007 Sunrise Valley Dr Suite 120, Reston, VA 20191. The listed phone number is (301) 624-5730.

What is Terry Watkin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Terry Watkin enrolled in Medicare?

Yes. Terry Watkin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terry Watkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Watkin reassigns Medicare benefits to Pediatric Specialists Of Virginia, LLC (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terry Watkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Terry Watkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.