MEDICARE: VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1295176725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

Provider Business Mailing Address
First Line	:	2800 S SHIRLINGTON RD STE 600
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3608
Country	:	US
Telephone Number	:	703-717-4245
Fax Number	:	703-717-4248

Provider Business Practice Location Address
First Line	:	2800 S SHIRLINGTON RD
Second Line	:	SUITE 500
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3601
Country	:	US
Telephone Number	:	703-717-4245
Fax Number	:	703-717-4248

Authorized Official
Title or Position	:	SYS. AVP, MANAGED CARE AND STRATEGI
Name	:	BRENDA BABBITT
Credential	:
Telephone Number	:	703-558-5590

Provider Enumeration Date	:	07/12/2013
Last Update Date	:	01/19/2026

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