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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1952743031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

Provider Business Mailing Address
First Line	:	1851 N GEORGE MASON DR STE 5D
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1953
Country	:	US
Telephone Number	:	703-717-4217
Fax Number	:	703-717-4218

Provider Business Practice Location Address
First Line	:	1851 N GEORGE MASON DR STE 5D
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1953
Country	:	US
Telephone Number	:	703-717-4217
Fax Number	:	703-717-4218

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

Provider Enumeration Date	:	07/18/2013
Last Update Date	:	02/18/2026

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