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LOUDOUN MEDICAL CARE AND WELLNESS
NPI 1083001663
Internal Medicine in Leesburg, VA

Active since April 21, 2015CLIA 49D2099284 · Waiver
19490 SANDRIDGE WAY, SUITE 240, LEESBURG, VA 20176(571) 223-5723(703) 724-0941 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2022, Aug 11, 2021, Nov 1, 2018 and 1 more (4 updates tracked since 2018).

About Loudoun Medical Care And Wellness NPPES

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

LOUDOUN MEDICAL CARE AND WELLNESS (NPI 1083001663) is a healthcare organization registered as an internal medicine in Leesburg, Virginia and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083001663
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address19490 SANDRIDGE WAY, SUITE 240Leesburg, VA 20176-3467
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Phone(571) 223-5723
Fax(703) 724-0941
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateApril 21, 2015
Last NPPES UpdateApril 24, 20234 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1083001663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19490 SANDRIDGE WAY, SUITE 240, Leesburg, VA 20176
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Other Names 1

Doing Business AsLoudoun Medical Care And Wellness

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 49D2099284

Loudoun Medical Care And Wellness · Leesburg, VA
Active · expires Feb 4, 2027
CLIA Number49D2099284
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorSandhya Chanda
Laboratory Phone(571) 223-5723
Laboratory LocationLoudoun Medical Care And Wellness19490 Sandridge Way, Suite 240, 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.

Other Providers at the Same Location NPPES

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

DAWN TUTONE FNP-C
Nurse Practitioner (Family)
19490 SANDRIDGE WAY, SUITE 240
LEESBURG, VA 20176
Loudoun County (571) 223-5723

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 1083001663. It was assigned to this organization in the NPPES registry on April 21, 2015. The provider is doing business as Loudoun Medical Care And Wellness.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 19490 Sandridge Way, Suite 240, Leesburg, VA 20176. The listed phone number is (571) 223-5723.

What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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

Yes. A Certificate of Waiver (number 49D2099284) is associated with this NPI, valid through February 4, 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 with the weekly NPPES data releases published by CMS.