ADVANCE MEDICAL GI PC
NPI 1417604000
Clinic/Center - Medical Specialty in Fairfax, VA
About Advance Medical Gi Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCE MEDICAL GI PC (NPI 1417604000) is a healthcare organization registered as a medical specialty in Fairfax, Virginia and active in the NPI registry since March 2022. The organization lists Allen Blosser, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advance Medical Gi Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Advance Medical Gi PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Advance Medical Gi PC's NPI number?
The NPI number for Advance Medical Gi PC is 1417604000. It was assigned to this organization in the NPPES registry on March 3, 2022.
Where is Advance Medical Gi PC located?
Advance Medical Gi PC is located at 3975 Fair Ridge Dr Ste N300, Fairfax, VA 22033. The listed phone number is (702) 766-2600.
What is Advance Medical Gi PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Advance Medical Gi PC enrolled in Medicare?
Yes. Advance Medical Gi PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advance Medical Gi PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Advance Medical Gi PC, in Gastroenterology, Internal Medicine, Nurse Practitioner, Pathology and Physician Assistant. 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. Of these, 3 practice 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 Advance Medical Gi PC was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Advance Medical Gi Pc · NPI 1417604000
Medical Specialty organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since March 3, 2022.
## Identity
- **NPI:** 1417604000 (Entity type: Organization)
- **Enumerated:** March 3, 2022
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Allen Blosser, PROVIDER/OWNER
## Practice location
- **Address:** 3975 FAIR RIDGE DR STE N300, Fairfax, VA 22033-2928
- **Phone:** (702) 766-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (2), Nurse Practitioner (2), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417604000) · Data from the CMS NPPES public registry.