CCRM NORTHERN VIRGINIA, LLC
NPI 1598297269
Clinic/Center - Ambulatory Fertility Facility in Vienna, VA

NPI Status: Active since March 31, 2017

Contact Information

8010 TOWERS CRESCENT DR
5TH FLOOR
VIENNA, VA
ZIP 22182
Phone: (571) 789-2100

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  • Organization
  • Clinic/Center
  • Ambulatory Fertility Facility
  • CLIA Number: 49D2129549
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-07-2026

About CCRM NORTHERN VIRGINIA, LLC

This page provides the complete NPI Profile along with additional information for Ccrm Northern Virginia, Llc, a provider established in Vienna, Virginia operating as a Clinic/center, focusing in ambulatory fertility facility . The healthcare provider is registered in the NPI registry with number 1598297269 assigned on March 2017. The practitioner's primary taxonomy code is 261QA0006X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jon Pardew (Ceo)

NPI
1598297269
Provider Name
CCRM NORTHERN VIRGINIA, LLC
Entity Type
Organization
Location Address
8010 TOWERS CRESCENT DR 5TH FLOOR VIENNA, VA 22182
Location Phone
(571) 789-2100
Mailing Address
9380 STATION ST STE 425 LONE TREE, CO 80124
Mailing Phone
(303) 968-1950
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2017
Last Update Date
06-08-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Fertility Facility

Taxonomy Code
261QA0006X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON PARDEW

Authorized Official Title
CEO
Authorized Official Phone
(303) 885-5762

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2129549
Facility Type
Physician Office
Certificate Effective Date
August 08, 2024
Certificate Expiration Date
August 07, 2026
Laboratory Director
DR. CHELSEY A. LEISINGER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ccrm Northern Virginia, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1598297269, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 8 + 8 + 4 + 9 + 1 + 4 + 2 + 1 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1598297269.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Obstetrics & Gynecology (Reproductive Endocrinology)
8010 TOWERS CRESCENT DR
VIENNA, VA 22182

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598297269, enumerated as an "organization" on March 31, 2017.

The provider is located at 8010 TOWERS CRESCENT DR 5TH FLOOR VIENNA, VA 22182 and the phone number is (571) 789-2100.

Clinic/Center with taxonomy code 261QA0006X and a focus in Ambulatory Fertility Facility.