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UVA HEALTH INTERNAL MEDICINE MANASSAS
NPI 1750719977
Internal Medicine in Manassas, VA

Active since October 25, 2013CLIA 49D0942014 · Waiver
10945 GEORGE MASON CIR STE 105, MANASSAS, VA 20110(703) 361-5116(703) 361-8911 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2023, Oct 24, 2022, Sep 14, 2021 and 1 more (4 updates tracked since 2016).

About Uva Health Internal Medicine Manassas NPPES

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

UVA HEALTH INTERNAL MEDICINE MANASSAS (NPI 1750719977) is a healthcare organization registered as an internal medicine in Manassas, Virginia and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Charles D Coder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750719977
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameUVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Location Address10945 GEORGE MASON CIR STE 105Manassas, VA 20110-2233
Mailing AddressPo Box 748613Atlanta, GA 30384-8613
Phone(703) 361-5116
Fax(703) 361-8911
Organization SubpartNo
Authorized OfficialCharles D CoderCfo · (804) 835-2069
Enumeration DateOctober 25, 2013
Last NPPES UpdateSeptember 26, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1750719977 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.
10945 GEORGE MASON CIR STE 105, Manassas, VA 20110
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Other Names 1

Doing Business AsUva Health Internal Medicine Manassas

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 Health Internal Medicine Manassas 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 Health Internal Medicine Manassas, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 175 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
Christine Cardone, FNP-BC
Nurse Practitioner
NPI 1821262551
10945 GEORGE MASON CIR STE 105
Manassas, VA 20110
(703) 361-5116
✔ PECOS✔ Accepts MedicareSame address
Kahlil Gaiters, DO
Family Practice
NPI 1982257960
10945 GEORGE MASON CIR STE 105
Manassas, VA 20110
(703) 361-5116
✔ PECOS✔ Accepts MedicareSame address
Estefania Abasolo Lopez, MD
Internal Medicine
NPI 1043899545
10945 GEORGE MASON CIR
Manassas, VA 20110
(571) 778-5108
✔ PECOS✔ Accepts MedicareSame address
Thomas Dotson, M.D.P.C.
Internal Medicine
NPI 1659356079
10945 GEORGE MASON CIR STE 105
Manassas, VA 20110
(703) 361-5116
✔ PECOS✔ Accepts MedicareSame address
Danielle Palmer, DNP
Nurse Practitioner
NPI 1447147590
10945 GEORGE MASON CIR STE 105
Manassas, VA 20110
(703) 686-3835
✔ PECOS✔ Accepts MedicareSame address
Catherine Wied
Nurse Practitioner
NPI 1730930389
10945 GEORGE MASON CIR STE 105
Manassas, VA 20110
(703) 361-5116
✔ PECOS✔ Accepts MedicareSame address
Young Kim, D.O.
Internal Medicine
NPI 1932106911
8140 ASHTON AVE STE 125
Manassas, VA 20109
(703) 257-7749
✔ PECOS✔ Accepts Medicare1.6 mi
Michael Escano, MD
Cardiovascular Disease (Cardiology)
NPI 1336129147
8569 SUDLEY RD
Manassas, VA 20110
(703) 369-5959
✔ PECOS✔ Accepts Medicare2.0 mi
Crystal Mcgovern, N.P.
Nurse Practitioner
NPI 1063714244
8640 SUDLEY RD SUITE 201
Manassas, VA 20110
(703) 368-6819
✔ PECOS✔ Accepts Medicare2.1 mi
Rizwan Ahmed, M.D.
Gastroenterology
NPI 1841469061
8640 SUDLEY RD STE 201
Manassas, VA 20110
(703) 368-6819
✔ PECOS✔ Accepts Medicare2.1 mi
Mohammed Almamun, MD
Family Practice
NPI 1174262620
8640 SUDLEY RD STE 203
Manassas, VA 20110
(703) 368-3161
✔ PECOS✔ Accepts Medicare2.1 mi
Jennifer An, MD
Obstetrics/Gynecology
NPI 1508168089
8640 SUDLEY RD STE 303
Manassas, VA 20110
(571) 261-3529
✔ PECOS✔ Accepts Medicare2.1 mi
Bhisham Harchandani, M.D.
Interventional Cardiology
NPI 1417341850
8640 SUDLEY RD STE 302
Manassas, VA 20110
(703) 369-5959
✔ PECOS✔ Accepts Medicare2.1 mi
Carolyn Matthews, MD
Gynecological Oncology
NPI 1649213158
8640 SUDLEY RD STE 303
Manassas, VA 20110
(571) 261-3529
✔ PECOS✔ Accepts Medicare2.1 mi
Mohammad Ghairatmal, CSA
Psychiatry
NPI 1679824239
8680 HOSPITAL WAY
Manassas, VA 20110
(703) 369-8464
✔ PECOS✔ Accepts Medicare2.1 mi
Talat Alvi, M.D.
Neurology
NPI 1184881245
8644 SUDLEY RD STE 315
Manassas, VA 20110
(571) 284-1140
✔ PECOS✔ Accepts Medicare2.1 mi
Olivia Ford, MD
Plastic and Reconstructive Surgery
NPI 1649774613
8644 SUDLEY RD STE 118
Manassas, VA 20110
(571) 833-7951
✔ PECOS✔ Accepts Medicare2.1 mi
Balraj Singh
Medical Oncology
NPI 1316355662
8644 SUDLEY RD STE 315
Manassas, VA 20110
(703) 369-8030
✔ PECOS✔ Accepts Medicare2.1 mi
Michael Watson
Colorectal Surgery (Proctology)
NPI 1487185435
8644 SUDLEY RD STE 118
Manassas, VA 20110
(571) 833-7951
✔ PECOS✔ Accepts Medicare2.1 mi
Andrew Chung, M.D.
Urology
NPI 1427151612
8525 ROLLING RD STE 220
Manassas, VA 20110
(703) 393-0700
✔ PECOS✔ Accepts Medicare2.1 mi
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.

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 49D0942014

Uva Health Internal Medicine Manassas · Manassas, VA
Active · expires Mar 4, 2028
CLIA Number49D0942014
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorThomas Dotson
Laboratory Phone(703) 361-5116
Laboratory LocationUva Health Internal Medicine Manassas10945 George Mason Circle - Suite 105, Manassas, VA 20110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Uva Community Health Medical Group, LLC's NPI number?

The NPI number for Uva Community Health Medical Group, LLC is 1750719977. It was assigned to this organization in the NPPES registry on October 25, 2013. The provider is doing business as Uva Health Internal Medicine Manassas.

Where is Uva Community Health Medical Group, LLC located?

Uva Community Health Medical Group, LLC is located at 10945 George Mason Cir Ste 105, Manassas, VA 20110. The listed phone number is (703) 361-5116.

What is Uva Community Health Medical Group, LLC's specialty?

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

Is Uva Community Health Medical Group, LLC enrolled in Medicare?

Yes. Uva Community Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

When is Uva Community Health Medical Group, 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 Uva Community Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 580 clinicians in 37 Medicare specialties reassign their Medicare billing to Uva Community Health Medical Group, 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, 6 practice at this address and 175 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Uva Community Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0942014) is associated with this NPI, valid through March 4, 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 Uva Community Health Medical Group, LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.