Individual provider Active NPI

Bayani Lipana Manalo, MD

  • Internal Medicine Physician
  • Falls Church, VA
National Provider Identifier
1104916170
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022323 Issued in VA
Practice address
6400 Seven Corners Place
Suite G
Falls Church, VA 22044-2032
Phone
(703) 241-2400
Fax
(703) 534-8506
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022323 VA Primary
Gastroenterology Physician 207RG0100X 022323 VA

Addresses

Primary practice location

6400 Seven Corners Place
Suite G
Falls Church, VA 22044-2032

Mailing address

6400 Seven Corners Place
Suite G
Falls Church, VA 22044-2032
Phone (703) 241-2400

Other identifiers 1

IdentifierTypeStateIssuer
6045961MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022323VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tessa Cholmondeley MD PC Internal Medicine Current Accepting new patients

Locations

1830 Town Center Dr
Ste 207
Reston, VA 20190
Phone (703) 435-2227

1800 Town Center Dr
Ste 212
Reston, VA 20190
Phone (703) 435-2227

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104916170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SEVEN CORNERS PLACE",
            "address_2": "SUITE G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442032",
            "telephone_number": "703-241-2400",
            "fax_number": "703-534-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SEVEN CORNERS PLACE",
            "address_2": "SUITE G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442032",
            "telephone_number": "703-241-2400",
            "fax_number": "703-534-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "BAYANI",
        "middle_name": "LIPANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "022323",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "022323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6045961",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.