POTOMAC UROLOGY CENTER LLC NPI 1861588592

NPI Information

  • NPI: 1861588592
  • Provider Name: POTOMAC UROLOGY CENTER LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 49D2299867
  • Address: 2296 OPITZ BLVD STE 350
    WOODBRIDGE, VA
    ZIP 22191
  • Phone: (703) 680-2111

Map and Directions

Get Directions

NPI Details

POTOMAC UROLOGY CENTER LLC is an urology in Woodbridge, VA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. POTOMAC UROLOGY CENTER LLC NPI is 1861588592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2296 OPITZ BLVD STE 350
WOODBRIDGE, VA
ZIP 22191-346
Phone: (703) 680-2111
Fax: (703) 878-3939

The provider's authorized official is Kristina Kay Lowery .
The authorized official title is Credentialing Manager and has the following contact phone number (469) 930-3077.

The CLIA number assigned to this NPI record is 49D2299867 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology0101027073VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14081469OTHERVIRGINIAAETNA
20675283010OTHERVIRGINIACIGNA
323890001OTHERVIRGINIACAREFIRST
4002430OTHERVIRGINIAANTHEM
5DF9153OTHERVIRGINIARR MEDICARE
61861588592MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI