Reverent Medical Group Inc
NPI 1457861403 · Internal Medicine Physician · Fredericksburg, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Reverent Medical Group Inc is a Internal Medicine Physician organization in Fredericksburg, VA (NPI 1457861403).
Provider details
- NPI number
- 1457861403
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Petros Ayele, Co Owner(202) 821-3040
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
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Additional practice locations (4)
- 50 S Pickett St Ste 221Alexandria, VA 22304-7206Phone: (703) 823-4000
- 17601 Harpers Ferry DrDumfries, VA 22025-2029Phone: (202) 821-3040
- 8575 Rixlew LnManassas, VA 20109-3701Phone: (202) 821-3040
- 46531 Harry Byrd HwySterling, VA 20164-3555Phone: (202) 821-3040
Registry dates
- Enumerated
- 2017-10-04
- Last updated
- 2022-10-12
- Certified
- 2022-10-12
Frequently asked questions
- What is Reverent Medical Group Inc's NPI number?
- Reverent Medical Group Inc's National Provider Identifier (NPI) is 1457861403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reverent Medical Group Inc?
- Reverent Medical Group Inc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Reverent Medical Group Inc located?
- Reverent Medical Group Inc's practice location on file with NPPES is 623 Emancipation Hwy Ste 101, Fredericksburg, VA 22401-4437.
- What is Reverent Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Reverent Medical Group Inc is (800) 452-5574.
- Does Reverent Medical Group Inc accept Medicare?
- Reverent Medical Group Inc 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 Reverent Medical Group Inc?
- The authorized official listed on Reverent Medical Group Inc's NPPES record is Petros Ayele, Co Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reverent Medical Group Inc's NPI active?
- Yes — Reverent Medical Group Inc's NPI (1457861403) is active in the NPPES registry as of the last update on 2022-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.