CARDIAC AND VASCULAR CARE OF VIRGINIA, P.C.
NPI 1720204936
Internal Medicine - Interventional Cardiology in Annandale, VA
About Cardiac And Vascular Care Of Virginia, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARDIAC AND VASCULAR CARE OF VIRGINIA, P.C. (NPI 1720204936) is a healthcare organization registered as an interventional cardiology in Annandale, Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Albert H. Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cardiac And Vascular Care Of Virginia, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cardiac And Vascular Care Of Virginia, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 49D2003563
Cardiac And Vascular Care Of Virginia, PC · Annandale, VAFrequently 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 Cardiac And Vascular Care Of Virginia, P.C.'s NPI number?
The NPI number for Cardiac And Vascular Care Of Virginia, P.C. is 1720204936. It was assigned to this organization in the NPPES registry on April 17, 2007.
Where is Cardiac And Vascular Care Of Virginia, P.C. located?
Cardiac And Vascular Care Of Virginia, P.C. is located at 3301 Woodburn Road Suite 101, Annandale, VA 22003. The listed phone number is (703) 573-0800.
What is Cardiac And Vascular Care Of Virginia, P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Cardiac And Vascular Care Of Virginia, P.C. enrolled in Medicare?
Yes. Cardiac And Vascular Care Of Virginia, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cardiac And Vascular Care Of Virginia, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Cardiology) reassigns their Medicare billing to Cardiac And Vascular Care Of Virginia, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cardiac And Vascular Care Of Virginia, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2003563) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cardiac And Vascular Care Of Virginia, P.C. was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Cardiac And Vascular Care Of Virginia, P.c. · NPI 1720204936
Interventional Cardiology organization in Annandale, Virginia. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1720204936 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **Organization subpart:** No
- **Authorized official:** Albert Kim, PRESIDENT
## Practice location
- **Address:** 3301 WOODBURN ROAD, SUITE 101, Annandale, VA 22003-6890
- **Phone:** (703) 573-0800 · **Fax:** (703) 573-8809
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Interventional Cardiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2013
- **Other identifiers:** Medicare PIN G01562 (DC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720204936) · Data from the CMS NPPES public registry.