UROGYNECOLOGY CENTER OF NORTHERN VIRGINIA
NPI 1407908817
Urology - Urogynecology and Reconstructive Pelvic Surgery in Reston, VA

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

The NPI number for Loudoun Medical Group, PC is 1407908817. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Urogynecology Center Of Northern Virginia.

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

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Active since January 17, 2007

1860 TOWN CENTER DRIVE, SUITE 225, RESTON, VA 20190(703) 293-5239(571) 526-4393 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, Jun 14, 2023, Sep 26, 2022 and 1 more (4 updates tracked since 2021).

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About Urogynecology Center Of Northern Virginia NPPES

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

UROGYNECOLOGY CENTER OF NORTHERN VIRGINIA (NPI 1407908817) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Reston, Virginia and active in the NPI registry since January 2007. The organization lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407908817

Entity TypeOrganization

Primary Taxonomy2088F0040X

Legal Business NameLOUDOUN MEDICAL GROUP, PC

Location Address1860 TOWN CENTER DRIVE, SUITE 225Reston, VA 20190-5905

Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643

Phone(703) 293-5239

Fax(571) 526-4393

Organization SubpartYes

Authorized OfficialMary Beth TamasyCeo · (703) 737-6010

Enumeration DateJanuary 17, 2007

Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration

NPPES CertifiedNovember 9, 2023

✔ NPI 1407908817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2088F0040X

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

1860 TOWN CENTER DRIVE, SUITE 225, Reston, VA 20190

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Other Names 1

Doing Business AsUrogynecology Center Of Northern Virginia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urogynecology Center Of Northern Virginia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

135

Medicare enrollment records show 135 clinicians reassign Medicare billing to Urogynecology Center Of Northern Virginia, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 43 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Nurse Practitioner32

Internal Medicine13

Urology12

Gastroenterology8

Pathology8

Otolaryngology7

Podiatry7

Obstetrics/Gynecology6

17 other specialties42

Nearest to this location (20)

See all 135

Maria Canter, MD

Obstetrics/Gynecology

NPI 1497749907

1860 TOWN CENTER DRIVE, SUITE 225
Reston, VA 20190

(703) 293-5239

✔ PECOS✔ Accepts MedicareSame address

Nicholas Lailas, MD

Urology

NPI 1750376539

1860 TOWN CENTER DRIVE, SUITE 150
Reston, VA 20190

(703) 480-0220

✔ PECOS✔ Accepts MedicareSame address

Sarah Coleman, C.N.P., M.S.N.

Nurse Practitioner

NPI 1447238555

1860 TOWN CENTER DRIVE, SUITE 140
Reston, VA 20190

(703) 437-0001

✔ PECOS✔ Accepts MedicareSame address

Anna Dodson, DNP

Certified Nurse Midwife (CNM)

NPI 1740164037

1860 TOWN CENTER DRIVE, SUITE 140
Reston, VA 20190

(703) 437-0001

✔ PECOS✔ Accepts MedicareSame address

Sarah Downer, NP-BC

Nurse Practitioner

NPI 1619455912

1860 TOWN CENTER DRIVE, SUITE 140
Reston, VA 20190

(703) 737-6010

✔ PECOS✔ Accepts MedicareSame address

Alfreda Jones, M.D.

Obstetrics/Gynecology

NPI 1699759738

1860 TOWN CENTER DRIVE, SUITE 140
Reston, VA 20190

(703) 437-0001

✔ PECOS✔ Accepts MedicareSame address

Leah Elk, NP

Nurse Practitioner

NPI 1629366992

1860 TOWN CENTER DR STE 140
Reston, VA 20190

(703) 437-0001

✔ PECOS✔ Accepts MedicareSame address

Katarina Maric, FNP-C

Nurse Practitioner

NPI 1275237042

1860 TOWN CENTER DRIVE, SUITE 225
Reston, VA 20190

(703) 293-5239

✔ PECOS✔ Accepts MedicareSame address

Pamela Michel, DNP, FNP-BC

Nurse Practitioner

NPI 1043101801

1860 TOWN CENTER DR STE 150
Reston, VA 20190

(703) 480-0220

✔ PECOS✔ Accepts MedicareSame address

Mona Mistry, PT

Physical Therapist in Private Practice

NPI 1861621450

1860 TOWN CENTER DRIVE, SUITE 150
Reston, VA 20190

(703) 480-0220

✔ Accepts MedicareSame address

Janie Villarin, NURSE PRACTITIONER

Nurse Practitioner

NPI 1205956471

1860 TOWN CENTER DR STE 140
Reston, VA 20190

(703) 437-0001

✔ PECOS✔ Accepts MedicareSame address

Pamela Barstow, FNP-BC

Nurse Practitioner

NPI 1821470246

1800 TOWN CENTER DRIVE SUITE 220
Reston, VA 20190

(703) 435-2555

✔ PECOS✔ Accepts Medicare0.2 mi

Vijay Chadha, MD

Internal Medicine

NPI 1629180898

1800 TOWN CENTER DR STE 214
Reston, VA 20190

(703) 478-0325

✔ PECOS✔ Accepts Medicare0.2 mi

Mary Joseph Frickel, CFNP

Nurse Practitioner

NPI 1053556175

1800 TOWN CENTER DRIVE, SUITE 220
Reston, VA 20190

(703) 435-2555

✔ PECOS0.2 mi

Camilla Hersh, M.D.

Obstetrics/Gynecology

NPI 1114996071

1800 TOWN CENTER DRIVE SUITE 220
Reston, VA 20190

(703) 435-2555

✔ PECOS✔ Accepts Medicare0.2 mi

Astrid Von Walter, M.D

Obstetrics/Gynecology

NPI 1194977470

1800 TOWN CENTER DRIVE, SUITE 220
Reston, VA 20190

(703) 435-2555

✔ PECOS✔ Accepts Medicare0.2 mi

Robert Podolsky, MD

Vascular Surgery

NPI 1568428258

12005 SUNRISE VALLEY DRIVE, SUITE 120
Reston, VA 20191

(571) 375-7174

✔ PECOS✔ Accepts Medicare1.1 mi

Faraz Khan, MD

Diagnostic Radiology

NPI 1770087850

1801 ROBERT FULTON DRIVE, SUITE 510
Reston, VA 20191

(703) 783-5355

✔ PECOS✔ Accepts Medicare2.6 mi

Alex Pavidapha, M.D

Interventional Radiology

NPI 1053799585

1801 ROBERT FULTON DRIVE, SUITE 510
Reston, VA 20191

(703) 783-5355

✔ PECOS✔ Accepts Medicare2.6 mi

Ravi Iyer, M.D.

Internal Medicine

NPI 1467425876

13505 DULLES TECHNOLOGY DRIVE, SUITE 1A
Herndon, VA 20171

(703) 404-5900

✔ PECOS✔ Accepts Medicare2.6 mi

See all 135 clinicians

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 Loudoun Medical Group, PC's NPI number?

The NPI number for Loudoun Medical Group, PC is 1407908817. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Urogynecology Center Of Northern Virginia.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 1860 Town Center Drive, Suite 225, Reston, VA 20190. The listed phone number is (703) 293-5239.

What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Loudoun Medical Group, PC enrolled in Medicare?

Yes. Loudoun Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Loudoun Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 135 clinicians in 25 Medicare specialties reassign their Medicare billing to Loudoun Medical Group, PC. 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 (32), Internal Medicine (13) and Urology (12). Of these, 11 practice at this address and 43 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Loudoun Medical Group, PC was last updated on November 9, 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.