HAYMARKET PEDIATRICS
NPI 1528124419
Pediatrics in Haymarket, VA

Q: What is Haymarket Pediatrics's NPI number?

The NPI number for Haymarket Pediatrics is 1528124419. It was assigned to this organization in the NPPES registry on December 28, 2006.

Q: What is Haymarket Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since December 28, 2006CLIA 49D1027317 · Certificate of Compliance

4424 COSTELLO WAY, HAYMARKET, VA 20169(703) 753-1895(703) 753-4630 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Haymarket Pediatrics NPPES

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

HAYMARKET PEDIATRICS (NPI 1528124419) is a healthcare organization registered as a pediatrics in Haymarket, Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 13, 2027 and lists Edward D Michel, Owner, as its authorized official.

NPPES Registry Identity

NPI1528124419

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameHAYMARKET PEDIATRICS

Location Address4424 COSTELLO WAYHaymarket, VA 20169-2996

Mailing Address4424 Costello WayHaymarket, VA 20169-2996 · (703) 753-1895 · Fax (703) 753-4630

Phone(703) 753-1895

Fax(703) 753-4630

Organization SubpartNo

Authorized OfficialEdward D MichelOwner · (703) 753-1895

Enumeration DateDecember 28, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1528124419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4424 COSTELLO WAY, Haymarket, VA 20169

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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

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 49D1027317

Haymarket Pediatrics, Plc · Haymarket, VA

Active · expires Jun 13, 2027

CLIA Number49D1027317

Laboratory TypePhysician Office

Certificate Effective DateJune 14, 2025

Certificate Expiration DateJune 13, 2027

Laboratory DirectorEdward D. Michel

Laboratory Phone(703) 753-1895

Laboratory LocationHaymarket Pediatrics, Plc4424 Costello Way, Haymarket, VA 20169

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 5

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

DR. JULIA LOTTIE KRULLA MD

Pediatrics