| Gastro Virginia LLC | |
|
12011 Route 50 Ste 506 Fairfax VA 22033-3315 | |
| (571) 570-1819 | |
| (571) 506-2446 |
| Full Name | Gastro Virginia LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 12011 Route 50 Ste 506, Fairfax, Virginia |
| Authorized Official Name and Position | Zachary Jones (CEO) |
| Authorized Official Contact | 2076317837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Virginia LLC 7120 Minstrel Way Ste 100 Columbia MD 21045-5274 Ph: (571) 570-1819 | Gastro Virginia LLC 12011 Route 50 Ste 506 Fairfax VA 22033-3315 Ph: (571) 570-1819 |
| NPI Number | 1003632373 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 10/09/2026 |
| Certification Date | 10/09/2026 |
| Medicare PECOS PAC ID | 1759859788 |
|---|---|
| Medicare Enrollment ID | O20260507001371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003632373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Matthew Kirkbride |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225262868 PECOS PAC ID: 4880834787 Enrollment ID: I20140721000555 |
| Provider Name | Nabil Ashraf |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568723153 PECOS PAC ID: 1153563911 Enrollment ID: I20170628000419 |
| Provider Name | Zhengtong Pei |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194083659 PECOS PAC ID: 7618246505 Enrollment ID: I20180524000772 |
| Provider Name | Dabo Xu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649616301 PECOS PAC ID: 3577855600 Enrollment ID: I20201030000380 |
| Provider Name | Robert MD Byrne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508200882 PECOS PAC ID: 3678881091 Enrollment ID: I20250213000129 |
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