PEDIATRIC SPECIALISTS OF VIRGINIA, LLC
NPI 1699119818
Pediatrics in Fairfax, VA

Active since April 18, 2013CLIA Certified · 2 labs
3023 HAMAKER CT, SUITE 200, FAIRFAX, VA 22031(703) 848-6627 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2022, Nov 2, 2022 (2 updates tracked since 2022).

About Pediatric Specialists Of Virginia, Llc NPPES

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

PEDIATRIC SPECIALISTS OF VIRGINIA, LLC (NPI 1699119818) is a healthcare organization registered as a pediatrics in Fairfax, Virginia and active in the NPI registry since April 2013. The organization holds 2 active CLIA laboratory certificates and lists Margaret C Harris, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1699119818
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC SPECIALISTS OF VIRGINIA, LLC
Location Address3023 HAMAKER CT, SUITE 200Fairfax, VA 22031-2207
Mailing Address3023 Hamaker Ct, Suite 200Fairfax, VA 22031-2207 · (703) 848-6627
Organization SubpartNo
Authorized OfficialMargaret C HarrisChief Financial Officer · (703) 848-6630
Enumeration DateApril 18, 2013
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1699119818 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.
3023 HAMAKER CT, Fairfax, VA 22031

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)

Pediatric Specialists Of Virginia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

141

Medicare enrollment records show 141 clinicians reassign Medicare billing to Pediatric Specialists Of Virginia, LLC, which bills Medicare for the services they deliver. Of these, 27 practice at this address and 67 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Pediatric Medicine56
Nurse Practitioner29
Neurology11
Orthopedic Surgery8
Anesthesiology6
Ophthalmology6
Clinical Psychologist5
Gastroenterology3
12 other specialties17

Nearest to this location (20)

See all 141
Pediatric Medicine
NPI 1326276981
3023 HAMAKER CT STE 600
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Pediatric Medicine
NPI 1427014984
3023 HAMAKER CT STE 300
Fairfax, VA 22031
(703) 876-2788
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1356570584
3023 HAMAKER CT STE 500
Fairfax, VA 22031
(571) 776-3100
✔ PECOSSame address
Orthopedic Surgery
NPI 1215314356
3023 HAMAKER CT STE 500
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Pediatric Medicine
NPI 1477810208
3023 HAMAKER CT
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Orthopedic Surgery
NPI 1740486018
3023 HAMAKER CT STE 500
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Clinical Psychologist
NPI 1780133637
3023 HAMAKER CT STE 600
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Pediatric Medicine
NPI 1104010289
3023 HAMAKER CT STE 300
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Pediatric Medicine
NPI 1871957035
3023 HAMAKER CT STE 600
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Orthopedic Surgery
NPI 1487910345
3023 HAMAKER CT STE 500
Fairfax, VA 22031
(703) 848-6627
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1659790947
3023 HAMAKER CT STE 600
Fairfax, VA 22031
(703) 876-2788
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1013131010
3023 HAMAKER CT STE 300
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1659766111
3023 HAMAKER CT STE 200
Fairfax, VA 22031
(404) 251-8812
✔ PECOSSame address
Neurology
NPI 1518044858
3023 HAMAKER CT STE 300
Fairfax, VA 22031
(703) 876-2788
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821422866
3023 HAMAKER CT STE 600
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Neurology
NPI 1689053712
3023 HAMAKER CT
Fairfax, VA 22031
(703) 848-6610
✔ PECOSSame address
Nurse Practitioner
NPI 1386174084
3023 HAMAKER CT
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Ophthalmology
NPI 1164540712
3023 HAMAKER CT STE 500
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Neurology
NPI 1356578652
3023 HAMAKER COUURT SUITE 300
Fairfax, VA 22031
(703) 876-2788
✔ PECOSSame address
Nurse Practitioner
NPI 1972877009
3023 HAMAKER CT STE 500
Fairfax, VA 22031
(037) 876-2788
✔ PECOS✔ Accepts MedicareSame address
See all 141 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 49D1073416

Pediatric Specialists Of Virginia, LLC · Fairfax, VA
Active · expires Dec 2, 2027
CLIA Number49D1073416
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorPeter Lee
Laboratory Phone(703) 876-2788
Laboratory LocationPediatric Specialists Of Virginia, LLC3023 Hamaker Court, Suite 600 Attn Clinic Manager, Fairfax, VA 22031
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 49D2080118

Pediatrics Specialists Of Virginia-Asc · Fairfax, VA
Active · expires May 17, 2028
CLIA Number49D2080118
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorRonak Patel
Laboratory Phone(571) 766-3041
Laboratory LocationPediatrics Specialists Of Virginia-Asc3023 Hamaker Court - Suite 400, Fairfax, VA 22031
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatric Specialists Of Virginia, LLC's NPI number?

The NPI number for Pediatric Specialists Of Virginia, LLC is 1699119818. It was assigned to this organization in the NPPES registry on April 18, 2013.

Where is Pediatric Specialists Of Virginia, LLC located?

Pediatric Specialists Of Virginia, LLC is located at 3023 Hamaker Ct Suite 200, Fairfax, VA 22031. The listed phone number is (703) 848-6627.

What is Pediatric Specialists Of Virginia, LLC's specialty?

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

Is Pediatric Specialists Of Virginia, LLC enrolled in Medicare?

Yes. Pediatric Specialists Of Virginia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Specialists Of Virginia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 141 clinicians in 20 Medicare specialties reassign their Medicare billing to Pediatric Specialists Of Virginia, LLC. 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. The largest specialties are Pediatric Medicine (56), Nurse Practitioner (29) and Neurology (11). Of these, 27 practice at this address and 67 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pediatric Specialists Of Virginia, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pediatric Specialists Of Virginia, LLC was last updated on November 16, 2022. 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.