OrganizationActive
Loudoun Endoscopy Group, LLC
NPI 1801962741 · Endoscopy Clinic/Center · Lansdowne, VA
Provider details
- NPI number
- 1801962741
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristina Materna, Director, Credentialing(901) 377-8219
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
19455 Deerfield Ave Ste 212
Lansdowne, VA 20176-8102
Phone: (703) 724-9792
Fax: (703) 858-7310
Street-level locationGet directions
Mailing address
One Gi Credentialing Department
Germantown, TN 38183-1468
Registry dates
- Enumerated
- 2006-11-24
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.