Shady Grove Pediatrics, PC
NPI 1285064758 · Pediatrics Physician · King George, VA
Shady Grove Pediatrics, PC is a Pediatrics Physician organization in King George, VA (NPI 1285064758).
Provider details
- NPI number
- 1285064758
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ilya Zavelsky, Physician/Owner(540) 775-6891
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
12 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
Other names (DBA / former)
- Doing business as
- King George Pediatrics
Registry dates
- Enumerated
- 2013-11-20
- Last updated
- 2013-11-20
Frequently asked questions
- What is Shady Grove Pediatrics, PC's NPI number?
- Shady Grove Pediatrics, PC's National Provider Identifier (NPI) is 1285064758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Grove Pediatrics, PC?
- Shady Grove Pediatrics, PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Shady Grove Pediatrics, PC located?
- Shady Grove Pediatrics, PC's practice location on file with NPPES is 11127 Journal Pkwy, King George, VA 22485-3468.
- What is Shady Grove Pediatrics, PC's phone number?
- The practice phone number listed in the NPPES registry for Shady Grove Pediatrics, PC is (540) 775-6891.
- Who is the authorized official for Shady Grove Pediatrics, PC?
- The authorized official listed on Shady Grove Pediatrics, PC's NPPES record is Ilya Zavelsky, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Grove Pediatrics, PC's NPI active?
- Yes — Shady Grove Pediatrics, PC's NPI (1285064758) is active in the NPPES registry as of the last update on 2013-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.