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ADVANCED ENT SPECIALIST
NPI 1215051693
Otolaryngology in Leesburg, VA

Active since March 19, 2007
19490 SANDRIDGE WAY, SUITE 230, LEESBURG, VA 20176(703) 858-5885(703) 858-5001 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2023, Jul 17, 2023, Sep 16, 2022 and 3 more (6 updates tracked since 2019).

About Advanced Ent Specialist NPPES

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

ADVANCED ENT SPECIALIST (NPI 1215051693) is a healthcare organization registered as an otolaryngology in Leesburg, Virginia and active in the NPI registry since March 2007. The organization lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215051693
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address19490 SANDRIDGE WAY, SUITE 230Leesburg, VA 20176-3467
Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704 · (703) 737-6001 · Fax (703) 443-8643
Phone(703) 858-5885
Fax(703) 858-5001
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateMarch 19, 2007
Last NPPES UpdateNovember 10, 20236 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1215051693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
19490 SANDRIDGE WAY, SUITE 230, Leesburg, VA 20176
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Other Names 1

Doing Business AsAdvanced Ent Specialist

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 49D1056449

Advanced Ent Specialists · Leesburg, VA
Expired · Jul 16, 2026
CLIA Number49D1056449
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorMahesh S. Parameswaren, MD
Laboratory Phone(703) 858-5885
Laboratory LocationAdvanced Ent Specialists19490 Sandridge Way, Suite 230, 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 5

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

MRS. KIMBERLY PAIGE JOHNSON AU.D., CCC-A
Audiologist
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885
ESTHER PAK
Physician Assistant
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885
KELLI DANIELLE WILLINGHAM FNP
Nurse Practitioner (Family)
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885
JOANNA SCHACHTNER AU.D.
Audiologist
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885
DR. NIPUN CHHABRA M.D.
Otolaryngology
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Loudoun County (703) 858-5885

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 1215051693. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Advanced Ent Specialist.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 19490 Sandridge Way, Suite 230, Leesburg, VA 20176. The listed phone number is (703) 858-5885.

What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Loudoun Medical Group, PC was last updated on November 10, 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.