Elden St. Pediatrics

Elden St. Pediatrics is a healthcare organization registered as Pediatrics Physician in Herndon, VA, holding Type 2 (organization) NPI 1215091038 since 2006. The authorized official on file is Millicent Tetteyfio, Rn.Ofc.Mgr.

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NPI	1215091038
Entity type	Organization (Type 2)
Legal business name	Elden St. Pediatrics
Practice address	110 ELDEN ST, SUITE #D, Herndon, VA, 20170
Phone	7034716996
Fax	7034357765
Enumeration date	2006-12-20
Last updated in NPPES	2020-08-22

Authorized official

Name	Millicent Tetteyfio
Title	Rn.Ofc.Mgr
Phone	7034716996

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208000000X	Pediatrics Physician	Primary	—	—

Copy-ready billing details

Provider: Elden St. Pediatrics
NPI: 1215091038
Taxonomy: 208000000X (Pediatrics Physician)
Address: 110 ELDEN ST, SUITE #D, Herndon, VA, 20170

Providers at this address

NPI	Name	Type	Specialty	Location
1497831051	Salah Neberai	Individual	Pediatric Hospice and Palliative Medicine Physician	Herndon, VA
1932427945	Sithu Win	Individual	Pediatrics Physician	Herndon, VA

Verify this record

Cross-check NPI 1215091038 against the authoritative CMS record: view Elden St. Pediatrics on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Elden St. Pediatrics located?

The practice location on file with NPPES is in Herndon, VA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.