UVA HEALTH BULL RUN FAMILY MEDICINE MANASSAS
NPI 1366744039
Family Medicine in Manassas, VA
About Uva Health Bull Run Family Medicine Manassas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UVA HEALTH BULL RUN FAMILY MEDICINE MANASSAS (NPI 1366744039) is a healthcare organization registered as a family medicine in Manassas, Virginia and active in the NPI registry since December 2010. The organization holds 2 active CLIA laboratory certificates and lists Chuck D Coder, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Bull Run Family Medicine 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.
Clinicians Billing Medicare Through This Organization
580Medicare enrollment records show 580 clinicians reassign Medicare billing to Uva Health Bull Run Family Medicine Manassas, which bills Medicare for the services they deliver. Of these, 46 practice at this address and 181 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 37
Nearest to this location (20)
See all 580Source: 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 2
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 49D0223050
Uva Health Bull Run Family Medicine Manassas · Manassas, VACertificate of Waiver 49D2067133
Uva Health Bull Run Family Medicine Haymarket · Haymarket, VAFrequently 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 1366744039. It was assigned to this organization in the NPPES registry on December 1, 2010. The provider is doing business as Uva Health Bull Run Family Medicine Manassas.
Where is Uva Community Health Medical Group, LLC located?
Uva Community Health Medical Group, LLC is located at 8640 Sudley Rd Suite 203, Manassas, VA 20110. The listed phone number is (703) 368-3161.
What is Uva Community Health Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 46 practice at this address and 181 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Uva Community Health Medical Group, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
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.
# Uva Health Bull Run Family Medicine Manassas · NPI 1366744039
Family Medicine organization in Manassas, Virginia. Organization record, active in the CMS NPPES registry since December 1, 2010.
## Identity
- **NPI:** 1366744039 (Entity type: Organization)
- **Enumerated:** December 1, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Uva Community Health Medical Group, Llc
- **Organization subpart:** No
- **Authorized official:** Chuck Coder, CFO
## Practice location
- **Address:** 8640 SUDLEY RD, SUITE 203, Manassas, VA 20110-4420
- **Phone:** (703) 368-3161 · **Fax:** (703) 368-2498
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 580 clinicians in 37 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (103), Obstetrics/Gynecology (54), Anesthesiology (51); 46 practice at this address and 181 within 10 miles; [full list](https://npiprofile.com/npi/1366744039/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366744039) · Data from the CMS NPPES public registry.