DULLES MEDICAL GROUP LLC NPI 1053408732

NPI Information

  • NPI: 1053408732
  • Provider Name: DULLES MEDICAL GROUP LLC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 49D0953835
  • Address: 224D CORNWALL ST NW
    SUITE 303
    LEESBURG, VA
    ZIP 20176
  • Phone: (703) 777-8840

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NPI Details

DULLES MEDICAL GROUP LLC is a geriatric medicine internal medicine in Leesburg, VA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DULLES MEDICAL GROUP LLC NPI is 1053408732. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

224D CORNWALL ST NW
SUITE 303
LEESBURG, VA
ZIP 20176-700
Phone: (703) 777-8840
Fax: (703) 779-0887

The provider's authorized official is Anil J Patel .
The authorized official title is President and has the following contact phone number (703) 777-8840.

The CLIA number assigned to this NPI record is 49D0953835 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 1/15/2009.

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
1207RG0300XInternal MedicineGeriatric Medicine0101045895VIRGINIAYes

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
1A840-001OTHERVIRGINIACAREFIRST
2070317OTHERVIRGINIABLUECROSS BLUESHIELD
3E67340MEDICARE UPINVIRGINIA
4005842875MEDICAIDVIRGINIA
5110005318MEDICARE PINVIRGINIA

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

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