Advanced Digestive Care, LLC
NPI 1629462171 · Clinical Pathology/Laboratory Medicine Physician · Annandale, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Digestive Care, LLC is a Clinical Pathology/Laboratory Medicine Physician organization in Annandale, VA (NPI 1629462171).
Provider details
- NPI number
- 1629462171
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martin Prosky, Administrator(703) 407-7216
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2015-03-23
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Frequently asked questions
- What is Advanced Digestive Care, LLC's NPI number?
- Advanced Digestive Care, LLC's National Provider Identifier (NPI) is 1629462171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Digestive Care, LLC?
- Advanced Digestive Care, LLC is classified in the NPPES registry as Clinical Pathology/Laboratory Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Digestive Care, LLC located?
- Advanced Digestive Care, LLC's practice location on file with NPPES is 3301 Woodburn Rd Ste 107, Annandale, VA 22003-1297.
- What is Advanced Digestive Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Digestive Care, LLC is (703) 876-0437.
- Does Advanced Digestive Care, LLC accept Medicare?
- Advanced Digestive Care, 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 Advanced Digestive Care, LLC?
- The authorized official listed on Advanced Digestive Care, LLC's NPPES record is Martin Prosky, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Digestive Care, LLC's NPI active?
- Yes — Advanced Digestive Care, LLC's NPI (1629462171) is active in the NPPES registry as of the last update on 2023-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.