MOSAIC MD, PLLC
NPI 1376155648
Internal Medicine in Sterling, VA

Active since August 18, 2020
22365 BRODERICK DR STE 330, STERLING, VA 20166(703) 952-7641(703) 423-0007 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mosaic Md, Pllc NPPES

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

MOSAIC MD, PLLC (NPI 1376155648), doing business as Mosaic Theory Md, is a healthcare organization registered as an internal medicine in Sterling, Virginia and active in the NPI registry since August 2020. The organization lists Sheri Kay Kochendoerfer, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1376155648
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOSAIC MD, PLLC
Location Address22365 BRODERICK DR STE 330Sterling, VA 20166-9361
Mailing Address22365 Broderick Dr Ste 330Sterling, VA 20166-9361 · (703) 952-7641 · Fax (703) 423-0007
Fax(703) 423-0007
Organization SubpartYes
Authorized OfficialSheri Kay KochendoerferCo-owner · (703) 952-7641
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
NPI 1376155648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22365 BRODERICK DR STE 330, Sterling, VA 20166

Other Names 1

Doing Business AsMosaic Theory Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 49D2191121

Mosaic MD, PLLC Dba Mosaic Theory MD · Sterling, VA
Expired · Aug 23, 2026
CLIA Number49D2191121
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorSheri K. Kochendoerfer
Laboratory Phone(703) 952-7641
Laboratory LocationMosaic MD, PLLC Dba Mosaic Theory MD22365 Broderick Drive, Suite 330, Sterling, VA 20166
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Preventive Medicine (Addiction Medicine)
22365 BRODERICK DR STE 330
STERLING, VA 20166

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 Mosaic MD, PLLC's NPI number?

The NPI number for Mosaic MD, PLLC is 1376155648. It was assigned to this organization in the NPPES registry on August 18, 2020. The provider is doing business as Mosaic Theory MD.

Where is Mosaic MD, PLLC located?

Mosaic MD, PLLC is located at 22365 Broderick Dr Ste 330, Sterling, VA 20166. The listed phone number is (703) 952-7641.

What is Mosaic MD, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mosaic MD, PLLC was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.