OrganizationActive
Edmund Stephen Petrilli, M.D., P.C.
NPI 1407037500 · Gynecologic Oncology Physician · Manassas, VA
Provider details
- NPI number
- 1407037500
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edmund Petrilli, President(703) 830-8403
- License
- 0101022700 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
8650 Sudley Rd
Suite 200
Manassas, VA 20110-4419
Phone: (703) 392-5157
Fax: (703) 392-1347
Street-level locationGet directions
Mailing address
8650 Sudley Rd
Manassas, VA 20110-4419
Registry dates
- Enumerated
- 2007-11-16
- Last updated
- 2007-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.