CHANTILLY FAMILY PRACTICE (NPI# 1053592337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053592337 |
| Entity Type | Organization |
| Organization Name | CHANTILLY FAMILY PRACTICE |
| Practice Address |
4437 Brookfield Corporate Dr Chantilly VA 20151-2122 |
| Practice Telephone | 7039687277 |
| Practice Fax Number | 7039685644 |
| Mailing Telephone | 7039687277 |
| Mailing Fax Number | 7039685644 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | DR. RAJESH N MEHRA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7039687277 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0102033582 | VA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CHANTILLY FAMILY PRACTICE CENTER INC. | 4437 Brookfield Corporate Dr, Chantilly, Virginia 20151 |
| Street Address |
4437 BROOKFIELD CORPORATE DR |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730163015 | American Pediatric Consultants | Home Health | 4437 Brookfield Corporate Dr, Suite 203, Chantilly, VA 20151-2122 | 2005-12-01 |
| 1336522242 | Sheila Tank | Nurse Practitioner | 4437 Brookfield Corporate Dr, Chantilly, VA 20151-2122 | 2015-07-09 |
| 1588006415 | Heart and Vein Center | Internal Medicine | 4437 Brookfield Corporate Dr, Chantilly, VA 20151-2122 | 2013-07-19 |
| 1699114496 | Mark A Grimes | Dentist | 4437 Brookfield Corporate Dr, #107, Chantilly, VA 20151-2122 | 2013-06-14 |
| 1043594575 | William Joseph Lubin | Physician Assistant | 4437 Brookfield Corporate Dr, Chantilly, VA 20151-2122 | 2011-10-03 |
| 1295039170 | Christine M Rudolf | Physician Assistant | 4437 Brookfield Corporate Dr, Chantilly, VA 20151-2122 | 2011-01-06 |
| 1548416985 | Healthsmartvaccines, LLC | Clinic/Center | 4437 Brookfield Corporate Dr, #203, Chantilly, VA 20151-2122 | 2008-08-18 |
| 1992873400 | Rajesh N Mehra | Family Medicine | 4437 Brookfield Corporate Dr, Chantilly, VA 20151-2122 | 2006-12-01 |
| 1174606305 | National Physician Care | Durable Medical Equipment & Medical Supplies | 4437 Brookfield Corporate Dr, Suite 203, Chantilly, VA 20151-2122 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982812210 | Prasad Rekulapelli Md PC | Clinic/Center | 4229 Lafayette Center Dr, Suite 1425, Chantilly, VA 20151-1209 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626478 | Partners In Family Practice LLC | Clinic/Center | 430 Clairmont Ct Ste 123, Colonial Heights, VA 23834-1770 | 2020-10-09 |
| 1730790874 | Janice G. Sadaya-conda M.d., Pllc | Clinic/Center | 6128 Brandon Ave Ste 225, Springfield, VA 22150-2640 | 2020-08-12 |
| 1598375610 | Johnson Venture Management Solutions, Inc. | Clinic/Center | 17 Langley Blvd Bldg 1216, Hampton, VA 23681-2143 | 2020-08-04 |
| 1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
| 1295359883 | Advanced Onsite Care LLC | Clinic/Center | 1045 Robert Welch Ln, Chesapeake, VA 23320-6770 | 2020-05-30 |
| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.