DIGESTIVE DISEASE PHYSICIANS
NPI 1407510498
Internal Medicine - Gastroenterology in Alexandria, VA

Q: What is Loudoun Medical Group, PC's NPI number?

The NPI number for Loudoun Medical Group, PC is 1407510498. It was assigned to this organization in the NPPES registry on October 26, 2021. The provider is doing business as Digestive Disease Physicians.

Q: What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since October 26, 2021CLIA 49D1058779 · Certificate of Compliance

4660 KENMORE AVE, SUITE 305, ALEXANDRIA, VA 22304(703) 751-5763(703) 370-8704 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2023, Sep 16, 2022 (2 updates tracked since 2022).

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About Digestive Disease Physicians NPPES

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

DIGESTIVE DISEASE PHYSICIANS (NPI 1407510498) is a healthcare organization registered as a gastroenterology in Alexandria, Virginia and active in the NPI registry since October 2021. The organization holds a CLIA Certificate of Compliance certificate valid through April 5, 2028 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407510498

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameLOUDOUN MEDICAL GROUP, PC

Location Address4660 KENMORE AVE, SUITE 305Alexandria, VA 22304-1306

Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (571) 291-9786

Phone(703) 751-5763

Fax(703) 370-8704

Organization SubpartYes

Authorized OfficialMary Beth TamasyCeo · (703) 737-6010

Enumeration DateOctober 26, 2021

Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1407510498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4660 KENMORE AVE, Alexandria, VA 22304

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Other Names 1

Doing Business AsDigestive Disease Physicians

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 MULTIPLE 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 of Compliance 49D1058779

Digestive Disease Physicians · Alexandria, VA

Active · expires Apr 5, 2028

CLIA Number49D1058779

Laboratory TypePhysician Office

Certificate Effective DateApril 6, 2026

Certificate Expiration DateApril 5, 2028

Laboratory DirectorDr. Enrico A. Giangeruso

Laboratory Phone(703) 751-5763

Laboratory LocationDigestive Disease Physicians4660 Kenmore Avenue - Suite 100, Alexandria, VA 22304

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

DR. KENNETH MICHAEL AHDOOT MD

Obstetrics & Gynecology

4660 KENMORE AVE, SUITE #902
ALEXANDRIA, VA 22304

Alexandria City (703) 370-4300

STEFANO FRANCO AGOLINI

Surgery

4660 KENMORE AVE, SUITE 419
ALEXANDRIA, VA 22304

Alexandria City (703) 823-4066

KELLY L COOPER PT

Physical Therapist

4660 KENMORE AVE, SUITE 420
ALEXANDRIA, VA 22304

Alexandria City (703) 751-1008

NIYADELL, INC

Technician/Technologist (Optician)

4660 KENMORE AVE, SUITE 101
ALEXANDRIA, VA 22304

Alexandria City (703) 751-2800

GEORGE W TAWIL MD

Urology

4660 KENMORE AVE, SUITE 735
ALEXANDRIA, VA 22304

Alexandria City (703) 370-2132

COMPUTED TOMOGRAPHY ASSOCIATES

Radiology (Diagnostic Radiology)

4660 KENMORE AVE, SUITE 608
ALEXANDRIA, VA 22304

Alexandria City (703) 824-3260

MS. GINA KARLIN HALDEMAN CNM

Nurse Practitioner (Obstetrics & Gynecology)

4660 KENMORE AVE, #902
ALEXANDRIA, VA 22304

Alexandria City (703) 370-4300

DR. KRISTINA KATHLEEN HIBSHMAN M.D.

Obstetrics & Gynecology

4660 KENMORE AVE, SUITE 1100
ALEXANDRIA, VA 22304

Alexandria City (703) 370-0400

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 1407510498. It was assigned to this organization in the NPPES registry on October 26, 2021. The provider is doing business as Digestive Disease Physicians.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 4660 Kenmore Ave Suite 305, Alexandria, VA 22304. The listed phone number is (703) 751-5763.

What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Loudoun Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D1058779) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loudoun Medical Group, PC was last updated on August 18, 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.