Loudoun Medical Group, PC
NPI 1588376321ActiveOrganization· Surgery, Vascular Surgery· Reston, VA
Surgery, Vascular Surgery in Reston, Virginia, registered in NPPES in December 2022, part of Loudoun Medical Group, PC. The authorized official on file is Mary Beth Tamasy, Ceo. Enrolled in Medicare as dme supplier - physician - vascular surgery.
Overview
| NPI | 1588376321 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Loudoun Medical Group, PC |
| NPI issued | Dec 22, 2022 |
| Last updated in NPPES | Dec 22, 2022 |
| Certified by provider | Dec 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Vascular Surgery (VA) |
|---|
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