RESTON ENDOSCOPY CENTER
NPI 1720535958
Clinic/Center - Endoscopy in Reston, VA

NPI Status: Active since September 06, 2016

Contact Information

1939 ROLAND CLARKE PL
SUITE 200
RESTON, VA
ZIP 20191
Phone: (703) 766-2650

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  • Organization
  • Clinic/Center
  • Endoscopy
  • CLIA Number: 49D2119881
  • CLIA Cert. Type: Other - ENDOSCOPY CENTER
  • CLIA Exp. Date: 10-04-2026

About RESTON ENDOSCOPY CENTER

This page provides the complete NPI Profile along with additional information for Reston Endoscopy Center, a provider established in Reston, Virginia operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1720535958 assigned on September 2016. The practitioner's primary taxonomy code is 261QE0800X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Andrew M Axelrad M.d. (President)

NPI
1720535958
Provider Name
RESTON ENDOSCOPY CENTER
Entity Type
Organization
Location Address
1939 ROLAND CLARKE PL SUITE 200 RESTON, VA 20191
Location Phone
(703) 766-2650
Mailing Address
1939 ROLAND CLARKE PL SUITE 200 RESTON, VA 20191
Mailing Phone
(703) 766-2650
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2016
Last Update Date
09-06-2016
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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

Clinic/Center Endoscopy

Taxonomy Code
261QE0800X
Type
Ambulatory Health Care Facilities

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

ANDREW M AXELRAD M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 766-2650

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
49D2119881
Facility Type
Other - ENDOSCOPY CENTER
Certificate Effective Date
October 05, 2024
Certificate Expiration Date
October 04, 2026
Laboratory Director
ANDREW M. AXELRAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Reston Endoscopy Center 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.

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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 1720535958, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 1 + 0 + 3 + 1 + 0 + 9 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1720535958.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Anesthesiology
1939 ROLAND CLARKE PL, SUITE 200
RESTON, VA 20191
Physician Assistant (Medical)
1939 ROLAND CLARKE PL
RESTON, VA 20191
Physician Assistant
1939 ROLAND CLARKE PL
RESTON, VA 20191

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720535958, enumerated as an "organization" on September 06, 2016.

The provider is located at 1939 ROLAND CLARKE PL SUITE 200 RESTON, VA 20191 and the phone number is (703) 766-2650.

Clinic/Center with taxonomy code 261QE0800X and a focus in Endoscopy.