UVA HEALTH PEDIATRICS MANASSAS
NPI 1164990941
Pediatrics in Manassas, VA

Active since November 09, 2018
9430 FORESTWOOD LN STE 100, MANASSAS, VA 20110(703) 365-0227 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2023, Oct 24, 2022, Sep 14, 2021 and 1 more (4 updates tracked since 2018).

About Uva Health Pediatrics Manassas NPPES

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

UVA HEALTH PEDIATRICS MANASSAS (NPI 1164990941) is a healthcare organization registered as a pediatrics in Manassas, Virginia and active in the NPI registry since November 2018. The organization lists Charles D Coder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164990941
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Location Address9430 FORESTWOOD LN STE 100Manassas, VA 20110-4754
Mailing AddressPo Box 748613Atlanta, GA 30384-8613 · (844) 266-8268
Organization SubpartNo
Authorized OfficialCharles D CoderCfo · (804) 835-2069
Enumeration DateNovember 9, 2018
Last NPPES UpdateSeptember 26, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1164990941 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.
9430 FORESTWOOD LN STE 100, Manassas, VA 20110

Other Names 1

Doing Business AsUva Health Pediatrics Manassas

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uva Health Pediatrics Manassas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20110311000151Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

580

Medicare enrollment records show 580 clinicians reassign Medicare billing to Uva Health Pediatrics Manassas, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 182 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner103
Obstetrics/Gynecology54
Anesthesiology51
Psychiatry51
Family Practice49
Hospitalist44
Internal Medicine29
Neurology28
29 other specialties171

Nearest to this location (20)

See all 580
Pediatric Medicine
NPI 1801940531
9430 FORESTWOOD LN STE 100
Manassas, VA 20110
(703) 365-0227
✔ PECOSSame address
Pediatric Medicine
NPI 1659349975
9430 FORESTWOOD LN STE 100
Manassas, VA 20110
(703) 365-0227
✔ PECOSSame address
Urology
NPI 1124268230
9430 FORESTWOOD LN STE 100
Manassas, VA 20110
(571) 284-1430
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295395002
9430 FORESTWOOD LN STE 100
Manassas, VA 20110
(703) 365-0227
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1487604039
9430 FORESTWOOD LN 100
Manassas, VA 20110
(703) 365-0227
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1689317521
8691 STONEWALL RD
Manassas, VA 20110
(571) 261-3529
✔ PECOS0.1 mi
Gastroenterology
NPI 1720345135
8691 STONEWALL RD
Manassas, VA 20110
(571) 833-7951
✔ PECOS✔ Accepts Medicare0.1 mi
Gynecological Oncology
NPI 1669497947
8691 STONEWALL RD
Manassas, VA 20110
(571) 261-3529
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1588649990
9590 SURVEYOR CT
Manassas, VA 20110
(703) 361-5116
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1316290083
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts Medicare0.5 mi
General Surgery
NPI 1881652329
9001 DIGGES RD STE 204
Manassas, VA 20110
(703) 257-9234
✔ PECOS✔ Accepts Medicare0.5 mi
Neurology
NPI 1245237718
8650 SUDLEY RD SUITE 309
Manassas, VA 20110
(703) 366-2799
✔ PECOS✔ Accepts Medicare0.5 mi
Anesthesiology
NPI 1457460099
8700 SUDLEY RD
Manassas, VA 20110
(703) 392-6199
✔ PECOS✔ Accepts Medicare0.5 mi
Pathology
NPI 1427278670
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8484
✔ PECOS✔ Accepts Medicare0.5 mi
Hospitalist
NPI 1700515640
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts Medicare0.5 mi
Diagnostic Radiology
NPI 1689037970
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts Medicare0.5 mi
Interventional Radiology
NPI 1952697849
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts Medicare0.5 mi
Critical Care (Intensivists)
NPI 1265661326
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1386220945
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts Medicare0.5 mi
Pediatric Medicine
NPI 1548612914
8609 SUDLEY RD STE 203
Manassas, VA 20110
(703) 369-9090
✔ PECOS✔ Accepts Medicare0.6 mi
See all 580 clinicians

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

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 Uva Community Health Medical Group, LLC's NPI number?

The NPI number for Uva Community Health Medical Group, LLC is 1164990941. It was assigned to this organization in the NPPES registry on November 9, 2018. The provider is doing business as Uva Health Pediatrics Manassas.

Where is Uva Community Health Medical Group, LLC located?

Uva Community Health Medical Group, LLC is located at 9430 Forestwood Ln Ste 100, Manassas, VA 20110. The listed phone number is (703) 365-0227.

What is Uva Community Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Uva Community Health Medical Group, LLC enrolled in Medicare?

Yes. Uva Community Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

When is Uva Community Health Medical Group, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Uva Community Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 580 clinicians in 37 Medicare specialties reassign their Medicare billing to Uva Community Health Medical Group, LLC. 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. The largest specialties are Nurse Practitioner (103), Obstetrics/Gynecology (54) and Anesthesiology (51). Of these, 5 practice at this address and 182 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Uva Community Health Medical Group, LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.