Organization Active NPI

Loudoun Walk in Medical Center, LLC

  • Clinic/Center
  • Ashburn, VA
National Provider Identifier
1073842282
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0101059077 Issued in VA
Legal business name
LOUDOUN WALK IN MEDICAL CENTER, LLC
Practice address
44320 Premier PLZ
Ashburn, VA 20147-5076
Phone
(703) 726-9056
Fax
(703) 726-9058
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Fuad Alykhan, M.D.NPI 1013192327
Title
Ceo
Phone
(703) 726-9056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0101059077 VA Primary

Addresses

Primary practice location

44320 Premier PLZ
Ashburn, VA 20147-5076

Mailing address

44320 Premier PLZ
Suite 120
Ashburn, VA 20147-5076
Phone (703) 726-9056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100406000491 VA Part B Supplier - Clinic/Group Practice 7012043722 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2006354Loudoun Walk in Medical Center, LLC44320 Premier Plaza - Suite 120, Ashburn, VA 20147Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Locations

44320 Premier Plz
Ste 120
Ashburn, VA 20147
Phone (703) 726-9056

44320 Premier Plz
Ashburn, VA 20147
Phone (703) 726-9056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1073842282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44320 PREMIER PLZ",
            "address_2": "SUITE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475076",
            "telephone_number": "703-726-9056",
            "fax_number": "703-726-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44320 PREMIER PLZ",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475076",
            "telephone_number": "703-726-9056",
            "fax_number": "703-726-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN WALK IN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "ALYKHAN",
        "authorized_official_first_name": "FUAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-726-9056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101059077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.