ALTMED MEDICAL CENTER, INC
NPI 1154561389
Preventive Medicine - Addiction Medicine in Manassas, VA

Q: What is Altmed Medical Center, Inc's NPI number?

The NPI number for Altmed Medical Center, Inc is 1154561389. It was assigned to this organization in the NPPES registry on February 27, 2009.

Q: What is Altmed Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Active since February 27, 2009CLIA 49D2008941 · Waiver

8551 RIXLEW LANE, SUITE 140, MANASSAS, VA 20109(703) 361-4357(703) 361-0346 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Altmed Medical Center, Inc NPPES

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

ALTMED MEDICAL CENTER, INC (NPI 1154561389) is a healthcare organization registered as an addiction medicine in Manassas, Virginia and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Gerald K Lee, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1154561389

Entity TypeOrganization

Primary Taxonomy2083A0300X

Legal Business NameALTMED MEDICAL CENTER, INC

Location Address8551 RIXLEW LANE, SUITE 140Manassas, VA 20109-4278

Mailing AddressP.o. Box 2041Manassas, VA 20108-0815 · (703) 361-4357 · Fax (703) 361-0346

Phone(703) 361-4357

Fax(703) 361-0346

Organization SubpartNo

Authorized OfficialGerald K LeeMedical Director · (703) 361-4357

Enumeration DateFebruary 27, 2009

Last NPPES UpdateMay 20, 2024

NPPES CertifiedMay 20, 2024

✔ NPI 1154561389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X

Also ListedGeneral PracticeTaxonomy 208D00000X · License D0054211 (MD)

8551 RIXLEW LANE, Manassas, VA 20109

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Group Practice 2

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

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Altmed Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Altmed Medical Center, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gerald Lee, M.D., PHD

Addiction Medicine

NPI 1184809030

8551 RIXLEW LANE SUITE 140
Manassas, VA 20109

(703) 361-4357

✔ PECOS✔ Accepts MedicareSame address

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

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 49D2008941

Altmed Medical Center, Inc · Manassas, VA

Active · expires Jun 21, 2028

CLIA Number49D2008941

Laboratory TypePhysician Office

Certificate Effective DateJune 22, 2026

Certificate Expiration DateJune 21, 2028

Laboratory DirectorGerald K. Lee

Laboratory Phone(703) 361-4357

Laboratory LocationAltmed Medical Center, Inc8551 Rixlew Lane, Suite 140, Manassas, VA 20109

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 Altmed Medical Center, Inc's NPI number?

The NPI number for Altmed Medical Center, Inc is 1154561389. It was assigned to this organization in the NPPES registry on February 27, 2009.

Where is Altmed Medical Center, Inc located?

Altmed Medical Center, Inc is located at 8551 Rixlew Lane Suite 140, Manassas, VA 20109. The listed phone number is (703) 361-4357.

What is Altmed Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Altmed Medical Center, Inc enrolled in Medicare?

Yes. Altmed Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Altmed Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Addiction Medicine) reassigns their Medicare billing to Altmed Medical Center, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Altmed Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2008941) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Altmed Medical Center, Inc was last updated on May 20, 2024. 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.