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RESTON EAR NOSE AND THROAT PC
NPI 1508961087
Otolaryngology in Reston, VA

Active since September 13, 2006CLIA 49D1066097 · Waiver
1860 TOWN CENTER DR, SUITE 335, RESTON, VA 20190(703) 787-3322(703) 787-3380 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Reston Ear Nose And Throat Pc NPPES

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

RESTON EAR NOSE AND THROAT PC (NPI 1508961087) is a healthcare organization registered as an otolaryngology in Reston, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Edwin J Lee, President, as its authorized official.

NPPES Registry Identity

NPI1508961087
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameRESTON EAR NOSE AND THROAT PC
Location Address1860 TOWN CENTER DR, SUITE 335Reston, VA 20190-5896
Mailing Address1860 Town Center Dr, Suite 335Reston, VA 20190-5896 · (703) 787-3322 · Fax (703) 787-3380
Phone(703) 787-3322
Fax(703) 787-3380
Organization SubpartNo
Authorized OfficialEdwin J LeePresident · (703) 787-3322
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 7, 2010
✔ NPI 1508961087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VA · 0101236481
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1860 TOWN CENTER DR, Reston, VA 20190
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reston Ear Nose And Throat Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Reston Ear Nose And Throat PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nicole Colgrove, MD
Otolaryngology
NPI 1538574058
1860 TOWN CENTER DR STE 335
Reston, VA 20190
(703) 787-3322
✔ PECOS✔ Accepts MedicareSame address
Michelle Wu
Qualified Audiologist
NPI 1689529109
1860 TOWN CENTER DR
Reston, VA 20190
(703) 787-3322
✔ Accepts MedicareSame address
Ariana Braganza, AUD
Qualified Audiologist
NPI 1558046672
1860 TOWN CENTER DR STE 335
Reston, VA 20190
(703) 787-3322
✔ Accepts MedicareSame address
William Kennedy, M.D.
Otolaryngology
NPI 1558723320
1860 TOWN CENTER DR STE 335
Reston, VA 20190
(703) 787-3322
✔ PECOS✔ Accepts MedicareSame address
Daniel Hwang, M.D.
Otolaryngology
NPI 1184678856
1860 TOWN CENTER DR SUITE 335
Reston, VA 20190
(703) 787-3322
✔ PECOS✔ Accepts MedicareSame address
Edwin Lee, M.D.
Otolaryngology
NPI 1992817605
1860 TOWN CENTER DR SUITE 335
Reston, VA 20190
(703) 787-3322
✔ PECOS✔ Accepts MedicareSame address
Rachel Moldenhauer, AU.D.
Qualified Audiologist
NPI 1326777848
1320 OLD CHAIN BRIDGE RD STE 185
Mc Lean, VA 22101
(703) 942-8110
10 mi
Matthew Chu, MD
Otolaryngology
NPI 1639758881
231 ALBERT SABIN WAY MEDICAL SCIENCES BUILDING ROOM 650
Cincinnati, OH 45267
(513) 558-4152
✔ PECOS384 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 49D1066097

Reston Ear, Nose And Throat · Reston, VA
Active · expires Apr 24, 2027
CLIA Number49D1066097
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorEdwin J. Lee
Laboratory Phone(703) 787-3322
Laboratory LocationReston Ear, Nose And Throat1860 Town Center Drive - Suite 335, Reston, VA 20190
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Reston Ear Nose And Throat PC's NPI number?

The NPI number for Reston Ear Nose And Throat PC is 1508961087. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Reston Ear Nose And Throat PC located?

Reston Ear Nose And Throat PC is located at 1860 Town Center Dr Suite 335, Reston, VA 20190. The listed phone number is (703) 787-3322.

What is Reston Ear Nose And Throat PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Reston Ear Nose And Throat PC enrolled in Medicare?

Yes. Reston Ear Nose And Throat PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reston Ear Nose And Throat PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Reston Ear Nose And Throat 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 Otolaryngology (5) and Qualified Audiologist (3). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Reston Ear Nose And Throat PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1066097) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reston Ear Nose And Throat PC was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.