CHISOVEREIGN PLLC
NPI 1225454291
Clinic/Center - Medical Specialty in Fairfax, VA
About Chisovereign Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHISOVEREIGN PLLC (NPI 1225454291) is a healthcare organization registered as a medical specialty in Fairfax, Virginia and active in the NPI registry since March 2014. The organization lists Ijeoma N Nnamani, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chisovereign Pllc 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 Chisovereign PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Chisovereign PLLC's NPI number?
The NPI number for Chisovereign PLLC is 1225454291. It was assigned to this organization in the NPPES registry on March 13, 2014.
Where is Chisovereign PLLC located?
Chisovereign PLLC is located at 3975 Fair Ridge Dr Suite 150N, Fairfax, VA 22033. The listed phone number is (703) 246-0011.
What is Chisovereign PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Chisovereign PLLC enrolled in Medicare?
Yes. Chisovereign PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chisovereign PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Chisovereign PLLC. 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.
When was this NPI record last updated?
The NPPES record for Chisovereign PLLC was last updated on March 13, 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.
# Chisovereign Pllc · NPI 1225454291
Medical Specialty organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since March 13, 2014.
## Identity
- **NPI:** 1225454291 (Entity type: Organization)
- **Enumerated:** March 13, 2014
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Ijeoma Nnamani, DIRECTOR
## Practice location
- **Address:** 3975 FAIR RIDGE DR, SUITE 150N, Fairfax, VA 22033-2911
- **Phone:** (703) 246-0011 · **Fax:** (703) 246-0012
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1225454291) · Data from the CMS NPPES public registry.