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BLOSSOM EMERGENCY GROUP LLC
NPI 1699622753
Emergency Medicine in Luray, VA

Active since March 16, 2026
200 MEMORIAL DR, LURAY, VA 22835(540) 743-4561 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blossom Emergency Group Llc NPPES

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

BLOSSOM EMERGENCY GROUP LLC (NPI 1699622753) is a healthcare organization registered as an emergency medicine in Luray, Virginia and active in the NPI registry since March 2026. The organization maintains 3 additional practice locations and lists Lisha C Falk, Vice President, as its authorized official.

NPPES Registry Identity

NPI1699622753
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBLOSSOM EMERGENCY GROUP LLC
Location Address200 MEMORIAL DRLuray, VA 22835-1000
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(540) 743-4561
Organization SubpartNo
Authorized OfficialLisha C FalkVice President · (337) 609-1221
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1699622753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
200 MEMORIAL DR, Luray, VA 22835
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Secondary Practice Locations 3

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000
Location 2759 S Main StWoodstock, VA 22664-1154 · Phone (540) 459-1100
Location 3351 Valley Health WayFront Royal, VA 22630-3598 · Phone (540) 636-0300

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)

Blossom Emergency Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Blossom Emergency Group LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Hashim Stanazai, MD
Emergency Medicine
NPI 1619358264
1000 N SHENANDOAH AVE
Front Royal, VA 22630
(540) 636-0300
✔ PECOS✔ Accepts Medicare24 mi
Micah Crouse, M.D.
Emergency Medicine
NPI 1992903306
1940 TAYLOR DR APT 6
Winchester, VA 22601
(440) 263-4190
✔ PECOS✔ Accepts Medicare38 mi
Ahmad Maarouf, MD
Emergency Medicine
NPI 1972099935
4600 SPOTSYLVANIA PKWY
Fredericksburg, VA 22408
(216) 456-1261
✔ PECOS✔ Accepts Medicare61 mi
Devon Fiorino, MD
Emergency Medicine
NPI 1497318836
5841 S MARYLAND AVE # MC5068
Chicago, IL 60637
(773) 702-3820
✔ PECOS✔ Accepts Medicare529 mi
Chisom Nwoye, MD
Family Practice
NPI 1841780806
701 W 5TH ST
Odessa, TX 79763
(432) 703-5238
✔ PECOS✔ Accepts Medicare1,426 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 Blossom Emergency Group LLC's NPI number?

The NPI number for Blossom Emergency Group LLC is 1699622753. It was assigned to this organization in the NPPES registry on March 16, 2026.

Where is Blossom Emergency Group LLC located?

Blossom Emergency Group LLC is located at 200 Memorial Dr, Luray, VA 22835. The listed phone number is (540) 743-4561.

What is Blossom Emergency Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Blossom Emergency Group LLC enrolled in Medicare?

Yes. Blossom Emergency Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blossom Emergency Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Blossom Emergency Group 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 Emergency Medicine (4) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blossom Emergency Group LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.