CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC
NPI 1639304918
Pediatrics in Fairfax, VA

NPI Status: Active since May 15, 2009

Contact Information

3023 HAMAKER COURT
SUITE 500
FAIRFAX, VA
ZIP 22031
Phone: (202) 476-6284

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  • Organization
  • Pediatrics
  • CLIA Number: 49D2273932
  • CLIA Cert. Type: Other - OUTPT CENTER
  • CLIA Exp. Date: 01-31-2027

About CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC

This page provides the complete NPI Profile along with additional information for Childrens National Specialist Of Virginia Llc, a pediatrician established in Fairfax, Virginia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1639304918 assigned on May 2009. The practitioner's primary taxonomy code is 208000000X with license number HFD01-0208 (DC). The provider is registered as an organization and their NPI record was last updated 17 years ago. Childrens National Specialist Of Virginia Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Susan Pfennig (Manager)

NPI
1639304918
Provider Name
CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC
Entity Type
Organization
Location Address
3023 HAMAKER COURT SUITE 500 FAIRFAX, VA 22031
Location Phone
(202) 476-6284
Mailing Address
PO BOX 17507 BALTIMORE, MD 21297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2009
Last Update Date
10-15-2009
Code Navigator

A pediatrician like Childrens National Specialist Of Virginia Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
HFD01-0208
License State
DC
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MS. SUSAN PFENNIG

Authorized Official Title
MANAGER
Authorized Official Phone
(202) 476-4447

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
49D2273932
Facility Type
Other - OUTPT CENTER
Certificate Effective Date
February 01, 2025
Certificate Expiration Date
January 31, 2027
Laboratory Director
YUNCHUAN D. MO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Childrens National Specialist Of Virginia Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1639304918, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 3 → 6 3 → 6 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 6 + 0 + 8 + 9 + 2 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1639304918.

Other Providers at the Same Location


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

Internal Medicine (Cardiovascular Disease)
3023 HAMAKER COURT, #100
FAIRFAX, VA 22031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639304918, enumerated as an "organization" on May 15, 2009.

The provider is located at 3023 HAMAKER COURT SUITE 500 FAIRFAX, VA 22031 and the phone number is (202) 476-6284.

Pediatrics with taxonomy code 208000000X.