ACTIVE LIFESTYLE MEDICAL
NPI 1376076059
General Practice in Sterling, VA
About Active Lifestyle Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE LIFESTYLE MEDICAL (NPI 1376076059) is a healthcare organization registered as a general practice in Sterling, Virginia and active in the NPI registry since April 2017. The organization lists Charles N Arndt, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Active Lifestyle Medical 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 Active Lifestyle Medical, 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 Ultramed Group, Inc's NPI number?
The NPI number for Ultramed Group, Inc is 1376076059. It was assigned to this organization in the NPPES registry on April 10, 2017. The provider is doing business as Active Lifestyle Medical.
Where is Ultramed Group, Inc located?
Ultramed Group, Inc is located at 20 Pidgeon Hill Dr Suite 102, Sterling, VA 20165. The listed phone number is (703) 444-4141.
What is Ultramed Group, Inc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Ultramed Group, Inc enrolled in Medicare?
Yes. Ultramed Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ultramed Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ultramed Group, 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.
When was this NPI record last updated?
The NPPES record for Ultramed Group, Inc was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Active Lifestyle Medical · NPI 1376076059
General Practice organization in Sterling, Virginia. Organization record, active in the CMS NPPES registry since April 10, 2017.
## Identity
- **NPI:** 1376076059 (Entity type: Organization)
- **Enumerated:** April 10, 2017
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Ultramed Group, Inc
- **Organization subpart:** No
- **Authorized official:** Charles Arndt, OWNER
## Practice location
- **Address:** 20 PIDGEON HILL DR, SUITE 102, Sterling, VA 20165-6154
- **Phone:** (703) 444-4141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1376076059) · Data from the CMS NPPES public registry.