Specialty Physicians of Northern Virginia, LLC
NPI 1114157054 · Surgery Physician · Dulles, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Specialty Physicians of Northern Virginia, LLC is a Surgery Physician organization in Dulles, VA (NPI 1114157054).
Provider details
- NPI number
- 1114157054
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suzanne Bergamo, Vp(804) 267-5950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-24
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Specialty Physicians of Northern Virginia, LLC's NPI number?
- Specialty Physicians of Northern Virginia, LLC's National Provider Identifier (NPI) is 1114157054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Specialty Physicians of Northern Virginia, LLC?
- Specialty Physicians of Northern Virginia, LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Specialty Physicians of Northern Virginia, LLC located?
- Specialty Physicians of Northern Virginia, LLC's practice location on file with NPPES is 24430 Stone Springs Blvd, Dulles, VA 20166-2267.
- What is Specialty Physicians of Northern Virginia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Specialty Physicians of Northern Virginia, LLC is (703) 665-2430.
- Does Specialty Physicians of Northern Virginia, LLC accept Medicare?
- Specialty Physicians of Northern Virginia, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Specialty Physicians of Northern Virginia, LLC?
- The authorized official listed on Specialty Physicians of Northern Virginia, LLC's NPPES record is Suzanne Bergamo, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Specialty Physicians of Northern Virginia, LLC's NPI active?
- Yes — Specialty Physicians of Northern Virginia, LLC's NPI (1114157054) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.