LOUDOUN PEDIATRIC ASSOCIATES
NPI 1871617373
Pediatrics in Purcellville, VA

Active since March 19, 2007CLIA 49D1007409 · Waiver
205 EAST HIRST ROAD, SUITE 302, PURCELLVILLE, VA 20132(540) 338-7065(540) 338-9482 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Loudoun Pediatric Associates NPPES

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

LOUDOUN PEDIATRIC ASSOCIATES (NPI 1871617373) is a healthcare organization registered as a pediatrics in Purcellville, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871617373
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address205 EAST HIRST ROAD, SUITE 302Purcellville, VA 20132-6602
Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Fax(540) 338-9482
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1871617373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
205 EAST HIRST ROAD, SUITE 302, Purcellville, VA 20132

Other Names 1

Doing Business AsLoudoun Pediatric Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loudoun Pediatric Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

291

Medicare enrollment records show 291 clinicians reassign Medicare billing to Loudoun Pediatric Associates, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Nurse Practitioner82
Family Practice29
Diagnostic Radiology24
Internal Medicine22
Certified Nurse Midwife (CNM)16
Obstetrics/Gynecology13
Urology13
Gastroenterology9
27 other specialties83

Nearest to this location (20)

See all 291
Family Practice
NPI 1033560545
205 E. HIRST ROAD, SUITE 200
Purcellville, VA 20132
(540) 338-6101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1093708513
205 E. HIRST ROAD, SUITE 303
Purcellville, VA 20132
(540) 338-9896
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487699161
205 E. HIRST ROAD, SUITE 203
Purcellville, VA 20132
(540) 751-0255
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073507034
205 E. HIRST ROAD, SUITE 203
Purcelville, VA 20132
(540) 751-0255
✔ PECOSSame address
Nurse Practitioner
NPI 1467236836
205 E. HIRST ROAD, SUITE 303
Purcellville, VA 20132
(540) 338-9896
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1811980329
224D CORNWALL ST NW SUITE 106
Leesburg, VA 20176
(703) 777-1612
✔ PECOS✔ Accepts Medicare7.9 mi
Internal Medicine
NPI 1740259340
224D CORNWALL ST., NW, SUITE 303
Leesburg, VA 20176
(703) 777-8840
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1376378109
224-D CORNWALL STREET, NW, SUITE 106
Leesburg, VA 20176
(703) 777-1612
✔ PECOS✔ Accepts Medicare7.9 mi
Orthopedic Surgery
NPI 1588655740
224-D CORNWALL STREET, NW, SUITE 204
Leesburg, VA 20176
(703) 777-3262
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1093066284
224D CORNWALL ST NW STE 106
Leesburg, VA 20176
(703) 955-5329
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1508632746
224-D CORNWALL STREET, NW, SUITE 104
Leesburg, VA 20176
(703) 779-0699
✔ PECOS7.9 mi
Physical Medicine and Rehabilitation
NPI 1427057686
224D CORNWALL ST NW STE 300
Leesburg, VA 20176
(703) 443-8110
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1154174225
224D CORNWALL ST NW STE 301
Leesburg, VA 20176
(703) 779-0700
✔ PECOS✔ Accepts Medicare7.9 mi
Family Practice
NPI 1003009119
224-D CORNWALL STREET, NW, SUITE 106
Leesburg, VA 20176
(703) 777-1612
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1699287946
224-D CORNWALL STREET, NW, SUITE 300
Leesburg, VA 20176
(703) 443-8110
✔ PECOS✔ Accepts Medicare7.9 mi
Obstetrics/Gynecology
NPI 1740395912
224D CORNWALL ST NW STE 207
Leesburg, VA 20176
(703) 437-0001
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1679867642
211 GIBSON ST NW STE 215
Leesburg, VA 20176
(571) 707-2085
✔ PECOS8.0 mi
Nurse Practitioner
NPI 1851709828
211 GIBSON STREET, NW, SUITE 215
Leesburg, VA 20176
(571) 707-2085
✔ PECOS✔ Accepts Medicare8.0 mi
Family Practice
NPI 1134115603
211 GIBSON STREET, NW, SUITE 215
Leesburg, VA 20176
(571) 707-2085
✔ PECOS✔ Accepts Medicare8.0 mi
Certified Nurse Midwife (CNM)
NPI 1558603977
163 FORT EVANS RD NE
Leesburg, VA 20176
(703) 443-2000
✔ PECOS9.6 mi
See all 291 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 49D1007409

Loudoun Pediatric Associates · Purcellville, VA
Active · expires Jun 19, 2027
CLIA Number49D1007409
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorMax R. Lins
Laboratory Phone(540) 338-7065
Laboratory LocationLoudoun Pediatric Associates205 E Hirst Road - Suite 302, Purcellville, VA 20132
CLIA data matches this NPI record on: Address 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 Loudoun Medical Group, PC's NPI number?

The NPI number for Loudoun Medical Group, PC is 1871617373. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Loudoun Pediatric Associates.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 205 East Hirst Road, Suite 302, Purcellville, VA 20132. The listed phone number is (540) 338-7065.

What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Loudoun Medical Group, PC enrolled in Medicare?

Yes. Loudoun Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Loudoun Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 291 clinicians in 35 Medicare specialties reassign their Medicare billing to Loudoun Medical Group, 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. The largest specialties are Nurse Practitioner (82), Family Practice (29) and Diagnostic Radiology (24). Of these, 5 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Loudoun Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1007409) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loudoun Medical Group, PC was last updated on April 24, 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.