VIRGINIA ID DOCTORS LLC
NPI 1952812364
Internal Medicine - Infectious Disease in Reston, VA

Active since October 12, 2017
1860 TOWN CENTER DR STE 310, RESTON, VA 20190(703) 738-9989(703) 738-9991 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2023, Jun 12, 2023, Oct 12, 2017 (3 updates tracked since 2017).

About Virginia Id Doctors Llc NPPES

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

VIRGINIA ID DOCTORS LLC (NPI 1952812364) is a healthcare organization registered as an infectious disease in Reston, Virginia and active in the NPI registry since October 2017. The organization lists Lavanya Nutankalva, President, as its authorized official.

NPPES Registry Identity

NPI1952812364
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameVIRGINIA ID DOCTORS LLC
Location Address1860 TOWN CENTER DR STE 310Reston, VA 20190-5899
Mailing Address4437 Brookfield Corporate Dr Ste 101Chantilly, VA 20151-2122 · (703) 738-9989 · Fax (703) 738-9991
Fax(703) 738-9991
Organization SubpartNo
Authorized OfficialLavanya NutankalvaPresident · (571) 477-9909
Enumeration DateOctober 12, 2017
Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1952812364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in VA · 0101240702
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1860 TOWN CENTER DR STE 310, Reston, VA 20190

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)

Virginia Id Doctors Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Virginia Id Doctors LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Infectious Disease
NPI 1003997339
1860 TOWN CENTER DR STE 310
Reston, VA 20190
(703) 738-9989
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1669137808
1860 TOWN CENTER DR
Reston, VA 20190
(703) 738-9989
✔ 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 Virginia Id Doctors LLC's NPI number?

The NPI number for Virginia Id Doctors LLC is 1952812364. It was assigned to this organization in the NPPES registry on October 12, 2017.

Where is Virginia Id Doctors LLC located?

Virginia Id Doctors LLC is located at 1860 Town Center Dr Ste 310, Reston, VA 20190. The listed phone number is (703) 738-9989.

What is Virginia Id Doctors LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Virginia Id Doctors LLC enrolled in Medicare?

Yes. Virginia Id Doctors LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Virginia Id Doctors LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Infectious Disease, reassign their Medicare billing to Virginia Id Doctors 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Virginia Id Doctors LLC was last updated on July 10, 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.