SENTARA PEDIATRIC PHYSICIANS
NPI 1720106149
Pediatrics in Williamsburg, VA

NPI Status: Active since March 26, 2007

Contact Information

4374 NEW TOWN AVE
STE 202
WILLIAMSBURG, VA
ZIP 23188
Phone: (757) 984-6040
Fax: (757) 510-9063

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  • Organization
  • Pediatrics
  • CLIA Number: 49D0226558
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-23-2027

About SENTARA PEDIATRIC PHYSICIANS

This page provides the complete NPI Profile along with additional information for Sentara Pediatric Physicians, a pediatrician established in Williamsburg, Virginia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1720106149 assigned on March 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Sentara Pediatric Physicians. The authorized official of this NPI record is Mrs. Cindy A Taylor (Manager)

NPI
1720106149
Provider Legal Name
SENTARA MEDICAL GROUP
Other Organization Name
SENTARA PEDIATRIC PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4374 NEW TOWN AVE STE 202 WILLIAMSBURG, VA 23188
Location Phone
(757) 984-6040
Location Fax
(757) 510-9063
Mailing Address
4374 NEW TOWN AVE STE 202 WILLIAMSBURG, VA 23188
Mailing Phone
(757) 984-6040
Mailing Fax
(757) 510-9063
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2007
Last Update Date
02-14-2017
Code Navigator

A pediatrician like Sentara Pediatric Physicians 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
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 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. CINDY A TAYLOR

Authorized Official Title
MANAGER
Authorized Official Phone
(757) 252-2765

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0597050029MEDICARE NSC (07)VA 

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
49D0226558
Facility Type
Physician Office
Certificate Effective Date
August 24, 2025
Certificate Expiration Date
August 23, 2027
Laboratory Director
DAN VIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sentara Pediatric Physicians to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SENTARA PEDIATRIC PHYSICIANS

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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 1720106149, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
9
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 2 → 4 1 → 2 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 2 + 0 + 1 + 2 + 1 + 8 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1720106149.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
Emergency Medicine
4374 NEW TOWN AVE, STE 100
WILLIAMSBURG, VA 23188
Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
Family Medicine
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Emergency Medicine
4374 NEW TOWN AVE, SUITE 100
WILLIAMSBURG, VA 23188
Physician Assistant
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Family Medicine
4374 NEW TOWN AVE, SUITE 100
WILLIAMSBURG, VA 23188
Radiology (Diagnostic Radiology)
4374 NEW TOWN AVE, SUITE 104
WILLIAMSBURG, VA 23188
Clinical Medical Laboratory
4374 NEW TOWN AVE, SUITE 104A
WILLIAMSBURG, VA 23188
Nurse Practitioner (Pediatrics)
4374 NEW TOWN AVE, SUITE 202
WILLIAMSBURG, VA 23188
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4374 NEW TOWN AVE, STE 100
WILLIAMSBURG, VA 23188
Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Family Medicine
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Family Medicine
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Internal Medicine
4374 NEW TOWN AVE, SUITE 102
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
Clinic/Center (Urgent Care)
4374 NEW TOWN AVE, STE100
WILLIAMSBURG, VA 23188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720106149, enumerated as an "organization" on March 26, 2007.

The provider is located at 4374 NEW TOWN AVE STE 202 WILLIAMSBURG, VA 23188 and the phone number is (757) 984-6040.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.