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UVA PRE-SURGICAL CARE PRINCE WILLIAM
NPI 1700440674
Internal Medicine in Manassas, VA

Active since April 26, 2019
8700 SUDLEY RD, MANASSAS, VA 20110(703) 396-5292 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2021, May 2, 2019, Apr 26, 2019 (3 updates tracked since 2019).

About Uva Pre-surgical Care Prince William NPPES

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

UVA PRE-SURGICAL CARE PRINCE WILLIAM (NPI 1700440674) is a healthcare organization registered as an internal medicine in Manassas, Virginia and active in the NPI registry since April 2019. The organization lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1700440674
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNMG AFFILIATE PRACTICE I, LLC
Location Address8700 SUDLEY RDManassas, VA 20110-4418
Mailing AddressPo Box 936952Atlanta, GA 31193-6952
Phone(703) 396-5292
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 303-7517
Enumeration DateApril 26, 2019
Last NPPES UpdateSeptember 14, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1700440674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8700 SUDLEY RD, Manassas, VA 20110
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Other Names 1

Doing Business AsUva Pre-surgical Care Prince William

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uva Pre-surgical Care Prince William is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20110311000151Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

580

Medicare enrollment records show 580 clinicians reassign Medicare billing to Uva Pre-Surgical Care Prince William, which bills Medicare for the services they deliver. Of these, 55 practice at this address and 181 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner103
Obstetrics/Gynecology54
Anesthesiology51
Psychiatry51
Family Practice49
Hospitalist44
Internal Medicine29
Neurology28
29 other specialties171

Nearest to this location (20)

See all 580
Mohammad Abidi, MD
Gastroenterology
NPI 1295153690
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts MedicareSame address
Eric Allee, MD
Hospitalist
NPI 1700515640
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts MedicareSame address
Chukwudi Anyalebechi, MD
Hospitalist
NPI 1427035443
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts MedicareSame address
Christien Byun, NP
Nurse Practitioner
NPI 1023851383
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts MedicareSame address
Susan Campbell, ANP
Nurse Practitioner
NPI 1003156407
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts MedicareSame address
Pasha Darvishi, MD
Diagnostic Radiology
NPI 1689037970
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts MedicareSame address
Brian Fogarty, M.D.
Diagnostic Radiology
NPI 1033182712
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8073
✔ PECOS✔ Accepts MedicareSame address
Ashley Gettemy, D.O.
Interventional Radiology
NPI 1952697849
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts MedicareSame address
Saumya Gill, MD
Neurology
NPI 1528265964
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8580
✔ PECOS✔ Accepts MedicareSame address
Robel Haile, MD
Critical Care (Intensivists)
NPI 1265661326
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts MedicareSame address
Ivan Harangozo, MD
Anesthesiology
NPI 1366551905
8700 SUDLEY RD
Manassas, VA 20110
(703) 392-6199
✔ PECOS✔ Accepts MedicareSame address
Rebecca Hwang
Family Practice
NPI 1386220945
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts MedicareSame address
Rebecca Laquey, MD
Family Practice
NPI 1306474804
8700 SUDLEY RD
Manassas, VA 20110
(469) 426-6229
✔ PECOS✔ Accepts MedicareSame address
Carolyn Mason, M.D.
Obstetrics/Gynecology
NPI 1588806137
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8000
✔ PECOS✔ Accepts MedicareSame address
Richard Stockwell, M.D.
Internal Medicine
NPI 1063707792
8700 SUDLEY RD
Manassas, VA 20110
(703) 396-5292
✔ PECOS✔ Accepts MedicareSame address
Robert Van Kirk, MD
Pathology
NPI 1427278670
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8484
✔ PECOS✔ Accepts MedicareSame address
Abdul Faisal, MD
Psychiatry
NPI 1467448589
8644 SUDLEY RD STE 315
Manassas, VA 20110
(703) 369-8565
✔ PECOS✔ Accepts MedicareSame address
Olivia Ford, MD
Plastic and Reconstructive Surgery
NPI 1649774613
8644 SUDLEY RD STE 118
Manassas, VA 20110
(571) 833-7951
✔ PECOS✔ Accepts MedicareSame address
Balraj Singh
Medical Oncology
NPI 1316355662
8644 SUDLEY RD STE 315
Manassas, VA 20110
(703) 369-8030
✔ PECOS✔ Accepts MedicareSame address
Michael Watson
Colorectal Surgery (Proctology)
NPI 1487185435
8644 SUDLEY RD STE 118
Manassas, VA 20110
(571) 833-7951
✔ PECOS✔ Accepts MedicareSame address
See all 580 clinicians

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 Nmg Affiliate Practice I, LLC's NPI number?

The NPI number for Nmg Affiliate Practice I, LLC is 1700440674. It was assigned to this organization in the NPPES registry on April 26, 2019. The provider is doing business as Uva Pre-Surgical Care Prince William.

Where is Nmg Affiliate Practice I, LLC located?

Nmg Affiliate Practice I, LLC is located at 8700 Sudley Rd, Manassas, VA 20110. The listed phone number is (703) 396-5292.

What is Nmg Affiliate Practice I, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nmg Affiliate Practice I, LLC enrolled in Medicare?

Yes. Nmg Affiliate Practice I, LLC is registered in the Medicare PECOS enrollment system.

When is Nmg Affiliate Practice I, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nmg Affiliate Practice I, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 580 clinicians in 37 Medicare specialties reassign their Medicare billing to Nmg Affiliate Practice I, 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 Nurse Practitioner (103), Obstetrics/Gynecology (54) and Anesthesiology (51). Of these, 55 practice at this address and 181 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nmg Affiliate Practice I, LLC was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.