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VAN DORN PEDIATRICS, PC
NPI 1639379159
Clinic/Center - Primary Care in Alexandria, VA

Active since July 23, 2007CLIA 49D1037374 · Waiver
2500 N VAN DORN ST STE 102, ALEXANDRIA, VA 22302(703) 933-0555(703) 933-0999 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2020, Jun 11, 2019 (2 updates tracked since 2019).

About Van Dorn Pediatrics, Pc NPPES

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

VAN DORN PEDIATRICS, PC (NPI 1639379159) is a healthcare organization registered as a primary care in Alexandria, Virginia and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Moheb Andrawis, Director, as its authorized official.

NPPES Registry Identity

NPI1639379159
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVAN DORN PEDIATRICS, PC
Location Address2500 N VAN DORN ST STE 102Alexandria, VA 22302-1601
Mailing Address2500 N Van Dorn St Ste 102Alexandria, VA 22302-1601 · (703) 933-0555 · Fax (703) 933-0999
Phone(703) 933-0555
Fax(703) 933-0999
Organization SubpartNo
Authorized OfficialMoheb AndrawisDirector · (703) 933-0555
Enumeration DateJuly 23, 2007
Last NPPES UpdateJune 25, 20202 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1639379159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 0101232408
2500 N VAN DORN ST STE 102, Alexandria, VA 22302
Open in Google Maps ↗

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 49D1037374

Van Dorn Pediatrics And Adolescent · Alexandria, VA
Active · expires Feb 22, 2027
CLIA Number49D1037374
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorMoheb S. Anddrawis
Laboratory Phone(703) 933-0555
Laboratory LocationVan Dorn Pediatrics And Adolescent2500 N Van Dorn Street - Suite 102, Alexandria, VA 22302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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. HANNAH B BUCHANAN MD
Pediatrics
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Alexandria City (703) 933-0555
ANNA SENESE PA-C
Physician Assistant
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Alexandria City (703) 933-0555
DR. MOHEB S ANDRAWIS M.D.
Pediatrics
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Alexandria City (703) 933-0555
DR. MONA MOUNIR F HANNA M.D.
Pediatrics
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Alexandria City (703) 933-0555
MAUREEN THERESA BANTA MD
Pediatrics
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Alexandria City (703) 933-0555

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 Van Dorn Pediatrics, PC's NPI number?

The NPI number for Van Dorn Pediatrics, PC is 1639379159. It was assigned to this organization in the NPPES registry on July 23, 2007.

Where is Van Dorn Pediatrics, PC located?

Van Dorn Pediatrics, PC is located at 2500 N Van Dorn St Ste 102, Alexandria, VA 22302. The listed phone number is (703) 933-0555.

What is Van Dorn Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Van Dorn Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1037374) is associated with this NPI, valid through February 22, 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 Van Dorn Pediatrics, PC was last updated on June 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.