Organization Active NPI

Tabula Medica LLC

  • Pediatrics Physician
  • Lansdowne, VA
National Provider Identifier
1174458194
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TABULA MEDICA LLC
Practice address
19415 Deerfield Ave Ste 103
Lansdowne, VA 20176-8470
Phone
(703) 957-8205
Fax
(571) 223-3834
NPI assigned
Jun 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Authorized official

Name
Dr. Rajiv Kumar Aggarwal
Title
Ceo
Phone
(703) 732-5625

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

19415 Deerfield Ave Ste 103
Lansdowne, VA 20176-8470

Mailing address

19415 Deerfield Ave Ste 103
Lansdowne, VA 20176-8470
Phone (703) 957-8205

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1174458194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 103",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-957-8205",
            "fax_number": "571-223-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 103",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-957-8205",
            "fax_number": "571-223-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABULA MEDICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-13",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-732-5625",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.