SHILOH FAMILY MEDICINE PC
NPI 1750462735
Preferred Provider Organization in Alexandria, VA

Active since October 18, 2006
5249 DUKE ST, SUITE 102, ALEXANDRIA, VA 22304(703) 823-3660(703) 823-2210 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shiloh Family Medicine Pc NPPES

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

SHILOH FAMILY MEDICINE PC (NPI 1750462735) is a healthcare organization registered as a preferred provider organization in Alexandria, Virginia and active in the NPI registry since October 2006. The organization lists Bradley Richard Ware, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1750462735
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSHILOH FAMILY MEDICINE PC
Location Address5249 DUKE ST, SUITE 102Alexandria, VA 22304-2926
Mailing Address5249 Duke St, Suite 102Alexandria, VA 22304-2926 · (703) 823-3660 · Fax (703) 823-2210
Fax(703) 823-2210
Organization SubpartNo
Authorized OfficialBradley Richard WarePresident/ceo · (703) 823-3660
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750462735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in VA · 0101050807
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
5249 DUKE ST, Alexandria, VA 22304

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)

Shiloh Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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
StateDistrict of ColumbiaEnrollment IDO20100511000634Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shiloh Family Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1417910746
5249 DUKE ST SUITE 102
Alexandria, VA 22304
(703) 823-3660
✔ PECOSSame address

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 Shiloh Family Medicine PC's NPI number?

The NPI number for Shiloh Family Medicine PC is 1750462735. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Shiloh Family Medicine PC located?

Shiloh Family Medicine PC is located at 5249 Duke St Suite 102, Alexandria, VA 22304. The listed phone number is (703) 823-3660.

What is Shiloh Family Medicine PC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Shiloh Family Medicine PC enrolled in Medicare?

Yes. Shiloh Family Medicine PC is registered in the Medicare PECOS enrollment system.

When is Shiloh Family Medicine PC'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 (District of Columbia, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Shiloh Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shiloh Family Medicine PC. 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.

When was this NPI record last updated?

The NPPES record for Shiloh Family Medicine PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.