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LOUDOUN PEDIATRIC ASSOCIATES
NPI 1043752272
Pediatrics in Dulles, VA

Active since November 04, 2016CLIA 49D2137043 · Waiver
24430 STONE SPRINGS BLVD, SUITE 115, DULLES, VA 20166(703) 957-1247(703) 665-2376 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2022, Aug 10, 2021, Nov 4, 2016 (3 updates tracked since 2016).

About Loudoun Pediatric Associates NPPES

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

LOUDOUN PEDIATRIC ASSOCIATES (NPI 1043752272) is a healthcare organization registered as a pediatrics in Dulles, Virginia and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043752272
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address24430 STONE SPRINGS BLVD, SUITE 115Dulles, VA 20166-2269
Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704 · (703) 737-6001
Phone(703) 957-1247
Fax(703) 665-2376
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateNovember 4, 2016
Last NPPES UpdateApril 24, 20233 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1043752272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
24430 STONE SPRINGS BLVD, Dulles, VA 20166
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Other Names 1

Doing Business AsLoudoun Pediatric Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2137043

Loudoun Pediatric Associates · Dulles, VA
Active · expires Jun 19, 2027
CLIA Number49D2137043
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorMax R. Lins
Laboratory Phone(703) 957-1247
Laboratory LocationLoudoun Pediatric Associates24430 Stone Springs Boulevard - Suite 115, Dulles, VA 20166
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DANAH JAGUETA BALMACEDA NURSE PRACTITIONER
Nurse Practitioner (Critical Care Medicine)
24430 STONE SPRINGS BLVD
DULLES, VA 20166
Loudoun County (571) 439-4000
MARGARET JEANNE BRANDQUIST CNM
Advanced Practice Midwife
24430 STONE SPRINGS BLVD, SUITE 550
DULLES, VA 20166
Loudoun County (703) 957-1245
SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
Surgery
24430 STONE SPRINGS BLVD
DULLES, VA 20166
Loudoun County (703) 665-2430
LOUDOUN MEDICAL GROUP, PC
Surgery
24430 STONE SPRINGS BLVD, SUITE 100
DULLES, VA 20166
Loudoun County (703) 858-3200
THE CARDIOVASCULAR GROUP, PC
Internal Medicine (Cardiovascular Disease)
24430 STONE SPRINGS BLVD, #425
DULLES, VA 20166
Loudoun County (703) 722-5860
LOUDOUN MEDICAL GROUP, PC
Specialist
24430 STONE SPRINGS BLVD, SUITE 100
DULLES, VA 20166
Loudoun County (703) 858-3208
LOUDOUN MEDICAL GROUP, PC
Specialist
24430 STONE SPRINGS BLVD, SUITE 100
DULLES, VA 20166
Loudoun County (703) 723-3398
LOUDOUN MEDICAL GROUP, PC
Internal Medicine (Hematology & Oncology)
24430 STONE SPRINGS BLVD, SUITE 515
DULLES, VA 20166
Loudoun County (703) 858-3110

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 Loudoun Medical Group, PC's NPI number?

The NPI number for Loudoun Medical Group, PC is 1043752272. It was assigned to this organization in the NPPES registry on November 4, 2016. The provider is doing business as Loudoun Pediatric Associates.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 24430 Stone Springs Blvd Suite 115, Dulles, VA 20166. The listed phone number is (703) 957-1247.

What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Loudoun Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2137043) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loudoun Medical Group, PC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.