Pediatricare of Northern Virginia, P.C.
NPI 1104994623ActiveOrganization· Pediatrics· Manassas, VA
Pediatrics in Manassas, Virginia, registered in NPPES in December 2006. The authorized official on file is Frank James Giancola, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1104994623 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Mass Immunization (Roster Biller Only) (VA) |
|---|
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