1. Home
  2. Directory
  3. Virginia
  4. Annandale
  5. Pathology
  6. NPI Profile

ADVANCED DIGESTIVE CARE, LLC
NPI 1629462171
Pathology - Clinical Pathology/Laboratory Medicine in Annandale, VA

Active since March 23, 2015
3301 WOODBURN RD STE 107, ANNANDALE, VA 22003(703) 876-0437(703) 876-0722 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2023, Jul 18, 2018, Jul 6, 2018 (3 updates tracked since 2018).

About Advanced Digestive Care, Llc NPPES

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

ADVANCED DIGESTIVE CARE, LLC (NPI 1629462171) is a healthcare organization registered as a clinical pathology/laboratory medicine in Annandale, Virginia and active in the NPI registry since March 2015. The organization lists Martin G Prosky, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629462171
Entity TypeOrganization
Primary Taxonomy207ZP0105X
Legal Business NameADVANCED DIGESTIVE CARE, LLC
Location Address3301 WOODBURN RD STE 107Annandale, VA 22003-1297
Mailing Address3301 Woodburn Rd Ste 107Annandale, VA 22003-1297 · (703) 876-0437 · Fax (703) 876-0722
Phone(703) 876-0437
Fax(703) 876-0722
Organization SubpartNo
Authorized OfficialMartin G ProskyAdministrator · (703) 407-7216
Enumeration DateMarch 23, 2015
Last NPPES UpdateJune 5, 20233 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1629462171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
3301 WOODBURN RD STE 107, Annandale, VA 22003
Open in Google Maps ↗

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)

Advanced Digestive Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Digestive Care, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Martin Prosky, M.D.
Gastroenterology
NPI 1740215391
3301 WOODBURN RD SUITE #107
Annandale, VA 22003
(703) 876-0437
✔ PECOS✔ Accepts MedicareSame address
Katie Zimmerman, CRNP
Nurse Practitioner
NPI 1639154099
3301 WOODBURN RD STE 107
Annandale, VA 22003
(703) 876-0437
✔ PECOSSame address
Amy Peng, FNP
Nurse Practitioner
NPI 1457926222
1850 TOWN CENTER PKWY STE 410
Reston, VA 20190
(571) 393-6987
✔ PECOS11 mi
Srikrishna Vemana, M.D.
Gastroenterology
NPI 1578771820
2925 VERNON PL SUITE 100
Cincinnati, OH 45219
(513) 872-4555
✔ PECOS✔ Accepts Medicare392 mi

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 Advanced Digestive Care, LLC's NPI number?

The NPI number for Advanced Digestive Care, LLC is 1629462171. It was assigned to this organization in the NPPES registry on March 23, 2015.

Where is Advanced Digestive Care, LLC located?

Advanced Digestive Care, LLC is located at 3301 Woodburn Rd Ste 107, Annandale, VA 22003. The listed phone number is (703) 876-0437.

What is Advanced Digestive Care, LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Advanced Digestive Care, LLC enrolled in Medicare?

Yes. Advanced Digestive Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Digestive Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Advanced Digestive Care, LLC, in Gastroenterology and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Digestive Care, LLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.