Fairfax Family Practice Centers PC
Organization Active NPI Family Medicine Physician · Herndon, VA
NPI 1205944964 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1205944964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FAIRFAX FAMILY PRACTICE CENTERS PC
- Practice address
- 381 Elden St Ste 1000
Herndon, VA 20170-4842 - Phone
- (703) 481-1505
- Fax
- (703) 742-8793
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
Authorized official
- Name
- David W Lee, MD
- Title
- President
- Phone
- (703) 424-6338
Practitioners 117
-
Stacy J Allouche, PT
-
Rachel Choi Bak, MD
-
Keri L Bortz, AGNP-C
-
Rebecca S. Browne, FNP
-
Xiao Chen, FNP
-
Christina L Denton, FNP
-
Sachit Desai, DO
-
Maureen Anne Filak-Allen, M.D.
-
Jenna Goffe, FNP
-
Grayce Elma Hamlin, FNP
-
Cathy Haugen, FNP-C
-
Michelle Womach Hewlett, FNP-C
-
Monica Luu Quach Hwang, M.D.
-
Geetanjali Jain, MSN, DNP, FNP-BC
-
Amar S. Kapur, DO
-
Michael Kerrigan, MD
-
Rebecca Jin Joo Lee, FNP
-
Bobbi Ann Lehman, CRNP
-
Lisa Xiang Li, MD
-
Ainsley Lundgren, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040108000208 | DC | Part B Supplier - Clinic/Group Practice | 4082513031 |
Receives reassigned benefits from 65 practitioners Practice locations: Herndon, VA; Lorton, VA; Reston, VA; Vienna, VA; Centreville, VA |
| O20050922001067 | VA | Part B Supplier - Clinic/Group Practice | 4082513031 |
Receives reassigned benefits from 44 practitioners Practice locations: Manassas, VA; Dulles, VA; Ashburn, VA; Brambleton, VA |
National Provider Directory
Locations
1027 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-6211
22895 Brambleton Plz
Brambleton, VA 20148
3660 Joseph Siewick Dr Ste 400
Fairfax, VA 22033
3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020
8550 Arlington Blvd
Fairfax, VA 22031
Phone (703) 698-2066
8301 Arlington Blvd
Ste 102
Fairfax, VA 22031
Phone (703) 207-8315
8078 Crescent Park Dr
Gainesville, VA 20155
Phone (703) 753-4999
8078 Crescent Park Dr
Ste 201
Gainesville, VA 20155
Phone (703) 257-7822
108 Elden St
Herndon, VA 20170
Phone (703) 774-3132
555 Herndon Pkwy
Herndon, VA 20170
Phone (703) 481-1505
108 Elden St
Ste 14
Herndon, VA 20170
Phone (703) 481-1505
8300 Greensboro Dr
Ste 100
Mc Lean, VA 22102
2500 Pocoshock Pl
Ste 104
North Chesterfield, VA 23235
Phone (804) 276-9305
12330 Pinecrest Rd
Reston, VA 20191
Phone (312) 952-6012
12330 Pinecrest Rd
Ste 305
Reston, VA 20191
12110 Sunset Hills Rd
#20
Reston, VA 20190
Phone (703) 834-1473
8100 Ashton Ave
Ste 101
Sudley Springs, VA 20109
Phone (703) 205-7330
115 Park St SE
Ste 206
Vienna, VA 22180
Phone (703) 766-0616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
381 Elden St Ste 1000
Herndon, VA 20170-4842
Mailing address
381 Elden St Ste 1000
Herndon, VA 20170-4842
Phone (703) 481-1505
Other providers in Herndon, VA
- Jennifer Ann Fabian
- Joseph E Dunlap Facen
- Robert D Fai
- Nicole Leonie Fainsan
- Fairfax Family Practice
- Fairfax Family Practice Centers PC
- Fairfax Home Health Care, LLC
- Fairfax Radiological Consultants PC
- Fairfax Radiological Consultants PC
- Fairfax Urgent Care Group
All providers in Herndon, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.