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ADAKU LILIAN IZUNWANNE
NPI 1104245224
Nurse Practitioner - Gerontology in Manassas, VA

Active since April 16, 2014PECOS Enrolled
9306 FOREST POINT CIR, MANASSAS, VA 20110(703) 330-3322(703) 330-5051 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adaku Lilian Izunwanne NPPES

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

ADAKU LILIAN IZUNWANNE (NPI 1104245224) is an individual gerontology provider in Manassas, Virginia, licensed in Virginia (0024171147) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104245224
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameADAKU LILIAN IZUNWANNE
Location Address9306 FOREST POINT CIRManassas, VA 20110-4700
Mailing Address9306 Forest Point CirManassas, VA 20110-4700 · (703) 330-3322 · Fax (703) 330-5051
Phone(703) 330-3322
Fax(703) 330-5051
Sole ProprietorNo
Enumeration DateApril 16, 2014
✔ NPI 1104245224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0024171147
9306 FOREST POINT CIR, Manassas, VA 20110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adaku Lilian Izunwanne 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 Reassignments

3

Medicare enrollment records show Adaku Izunwanne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr Arun K Gupta PC
Same address
Cardiovascular Disease
9306 FOREST POINT CIR
Manassas, VA 20110
  • Reassigned Medicare billing, Virginia enrollment
  • 13 clinicians in this Medicare group
NPI 1093997900 (703) 330-3322
Carelon Medical Partners, PC
537 mi
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, District of Columbia enrollment
  • 22 clinicians in this Medicare group
NPI 1124443403 (615) 454-9850
Alignmed Partners, PC
628 mi
Geriatric Medicine
420 DEAN DR
Gardendale, AL 35071
  • Reassigned Medicare billing, District of Columbia enrollment
  • 106 clinicians in this Medicare group
NPI 1881109452 (205) 631-8709

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR ARUN K GUPTA PC
Internal Medicine (Cardiovascular Disease)
9306 FOREST POINT CIR
MANASSAS, VA 20110
Manassas City (703) 330-3322
PATRICIA COULTER ANP
Nurse Practitioner (Adult Health)
9306 FOREST POINT CIR
MANASSAS, VA 20110
Manassas City (703) 330-3322
DR. ARUN K GUPTA M.D.
Internal Medicine
9306 FOREST POINT CIR
MANASSAS, VA 20110
Manassas City (703) 330-3322
MRS. JANINE PRIME NP
Family Medicine (Adult Medicine)
9306 FOREST POINT CIR
MANASSAS, VA 20110
Manassas City (703) 330-4300
JOHN L ANTUS MD
Internal Medicine
9306 FOREST POINT CIR
MANASSAS, VA 20110
Manassas City (703) 330-3322
OLAKUNBI OPEYEMI DADA
Nurse Practitioner (Family)
9306 FOREST POINT CIR
MANASSAS, VA 20110
Manassas City (703) 330-3332
ASHLEIGH MARIE WALLACE NURSE PRACTITIONER
Nurse Practitioner
9306 FOREST POINT CIR
MANASSAS, VA 20110
Manassas City (703) 330-3322

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 Adaku Izunwanne's NPI number?

The NPI number for Adaku Izunwanne is 1104245224. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Adaku Izunwanne located?

Adaku Izunwanne practices at 9306 Forest Point Cir, Manassas, VA 20110. The listed phone number is (703) 330-3322.

What is Adaku Izunwanne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Adaku Izunwanne enrolled in Medicare?

Yes. Adaku Izunwanne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adaku Izunwanne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adaku Izunwanne reassigns Medicare benefits to 3 organizations: Dr Arun K Gupta PC (Manassas, VA), Carelon Medical Partners, PC (Nashville, TN) and Alignmed Partners, PC (Gardendale, AL). Each 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 Adaku Izunwanne'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 Adaku Izunwanne was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.