DR. JEFFREY B CONKLIN M.D. NPI 1265513238

NPI Information

  • NPI: 1265513238
  • Provider Name: DR. JEFFREY B CONKLIN, M.D.
  • Classification: Internal Medicine - 207RA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 21785 FILIGREE CT
    SUITE 100
    ASHBURN, VA
    ZIP 20147
  • Phone: (703) 554-1100

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NPI Details

DR. Jeffrey B Conklin, M.D. is an adolescent medicine internal medicine in Ashburn, VA with 24 years of experience. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Jeffrey B Conklin, M.D. NPI is 1265513238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21785 FILIGREE CT
SUITE 100
ASHBURN, VA
ZIP 20147-213
Phone: (703) 554-1100
Fax: (703) 554-1110

The NPI 1265513238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 2/4/2011.

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
1207RA0000XInternal MedicineAdolescent Medicine0101248660VIRGINIAYes

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
11265513238MEDICAIDVIRGINIA

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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