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DR. WENDY RUTH GOTTLIEB M.D.
NPI 1073573382
Specialist in Reston, VA

Active since March 23, 2006Opted out of Medicare · through Jan 1, 2028
1800 TOWN CENTER DR, SUITE 418, RESTON, VA 20190(703) 668-9499(703) 689-4998 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wendy Ruth Gottlieb M.d. NPPES

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

DR. WENDY RUTH GOTTLIEB M.D. (NPI 1073573382) is an individual specialist in Reston, Virginia, licensed in Virginia (0101231213) and active in the NPI registry since March 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073573382
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. WENDY RUTH GOTTLIEBCredential: M.D.
Location Address1800 TOWN CENTER DR, SUITE 418Reston, VA 20190-3215
Mailing Address1800 Town Center Dr, Suite 418Reston, VA 20190-3215 · (703) 668-9499 · Fax (703) 689-4998
Phone(703) 668-9499
Fax(703) 689-4998
Sole ProprietorYes
Enumeration DateMarch 23, 2006
Last NPPES UpdateNovember 12, 2014
✔ NPI 1073573382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101231213
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.
1800 TOWN CENTER DR, Reston, VA 20190
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Other Identifiers 3

Medicare UPINH51211VA
Medicare PING01351W01VA
Medicaid01-00444448VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Wendy Ruth Gottlieb M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

RESTON PSYCHOLOGICAL CENTER, P.C.
Counselor (Mental Health)
1800 TOWN CENTER DR, SUITE 411
RESTON, VA 20190
Fairfax County (703) 437-3236
DR. JUAN ALBERTO TRINIDAD M.D
Family Medicine
1800 TOWN CENTER DR, SUITE 310
RESTON, VA 20190
Fairfax County (703) 709-7225
DERMATOLOGY SPECIALISTS OF VIRGINIA PC
Dermatology
1800 TOWN CENTER DR, STE 415
RESTON, VA 20190
Fairfax County (703) 709-1492
MRS. MADELINE PETRIZZI JURICH LCSW
Social Worker
1800 TOWN CENTER DR, STE 411
RESTON, VA 20190
Fairfax County (703) 437-3236
DR. EDWARD DAVID FARBER PHD
Psychologist
1800 TOWN CENTER DR, #411
RESTON, VA 20190
Fairfax County (703) 437-3236
DR. ESTHER M. ISEMAN M.S., PH.D.
Specialist
1800 TOWN CENTER DR, SUITE 420
RESTON, VA 20190
Fairfax County (703) 860-6854
ELIZABETH ANN BRANTLEY MD
Pediatrics
1800 TOWN CENTER DR
RESTON, VA 20190
Fairfax County (703) 435-0808
DR. MARCI KROP COOK M.D., FACOG
Obstetrics & Gynecology (Reproductive Endocrinology)
1800 TOWN CENTER DR, SUITE 313
RESTON, VA 20190
Fairfax County (703) 925-9300

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 Wendy Gottlieb's NPI number?

The NPI number for Wendy Gottlieb is 1073573382. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Wendy Gottlieb located?

Wendy Gottlieb practices at 1800 Town Center Dr Suite 418, Reston, VA 20190. The listed phone number is (703) 668-9499.

What is Wendy Gottlieb's specialty?

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

Is Wendy Gottlieb enrolled in Medicare?

No. Wendy Gottlieb has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Wendy Gottlieb was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.