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LOUDOUN PEDIATRIC ASSOCIATES
NPI 1073829065
Pediatrics in Leesburg, VA

Active since August 27, 2010CLIA 49D0929006 · Waiver
19500 SANDRIDGE WAY,, SUITE 110, LEESBURG, VA 20176(703) 723-7337(703) 723-8278 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Aug 11, 2021 (2 updates tracked since 2021).

About Loudoun Pediatric Associates NPPES

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

LOUDOUN PEDIATRIC ASSOCIATES (NPI 1073829065) is a healthcare organization registered as a pediatrics in Leesburg, Virginia and active in the NPI registry since August 2010. 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

NPI1073829065
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address19500 SANDRIDGE WAY,, SUITE 110Leesburg, VA 20176-3689
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Phone(703) 723-7337
Fax(703) 723-8278
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateAugust 27, 2010
Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1073829065 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.
19500 SANDRIDGE WAY,, Leesburg, VA 20176
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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 49D0929006

Loudoun Pediatric Associates · Leesburg, VA
Active · expires Jun 19, 2027
CLIA Number49D0929006
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorMax R. Lins
Laboratory Phone(703) 723-7337
Laboratory LocationLoudoun Pediatric Associates19500 Sandridge Way Suite 110, Leesburg, VA 20176
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1073829065. It was assigned to this organization in the NPPES registry on August 27, 2010. The provider is doing business as Loudoun Pediatric Associates.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 19500 Sandridge Way, Suite 110, Leesburg, VA 20176. The listed phone number is (703) 723-7337.

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 49D0929006) 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 December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.