Fairfax Family Practice Centers PC

Primary specialty

Family Medicine PhysicianTaxonomy code 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

Last updated

Feb 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David W Lee, MDNPI 1093794067

Title

President

Phone

(703) 424-6338

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David W Lee, MD

  • Family Medicine Physician
  • Lorton, VA
  • NPI 1093794067

  DC

  Medicare reassignment Care Compare group Authorized official
• Hannah Adams

  • Family Nurse Practitioner
  • Centreville, VA
  • NPI 1063307452

  DC

  Medicare reassignment Care Compare group NPD
• Stacy J Allouche, PT

  • Physical Therapist
  • Centreville, VA
  • NPI 1366804320

  DC

  Medicare reassignment Care Compare group NPD
• Rachel Choi Bak, MD

  • Family Medicine Physician
  • Herndon, VA
  • NPI 1891215851

  DC

  Medicare reassignment Care Compare group NPD
• Keri L Bortz, AGNP-C

  • Nurse Practitioner
  • Centreville, VA
  • NPI 1598418915

  DC

  Medicare reassignment Care Compare group NPD
• Rebecca S. Browne, FNP

  • Family Nurse Practitioner
  • Vienna, VA
  • NPI 1003585811

  DC

  Medicare reassignment Care Compare group NPD
• Lindsey Casal-Roscum, MD

  • Family Medicine Physician
  • Herndon, VA
  • NPI 1548839970

  DC

  Medicare reassignment Care Compare group NPD
• Xiao Chen, FNP

  • Family Nurse Practitioner
  • Vienna, VA
  • NPI 1699564344

  DC

  Medicare reassignment Care Compare group NPD
• Margaret Crenshaw, MD

  • Family Medicine Physician
  • Vienna, VA
  • NPI 1144665019

  DC

  Medicare reassignment Care Compare group NPD
• Christina L Denton, FNP

  • Family Nurse Practitioner
  • Dulles, VA
  • NPI 1174257844
  Medicare reassignment Care Compare group NPD
• Sachit Desai, DO

  • Family Medicine Physician
  • Vienna, VA
  • NPI 1710629605

  DC

  Medicare reassignment Care Compare group NPD
• Maureen Anne Filak-Allen, M.D.

  • Family Medicine Physician
  • Centreville, VA
  • NPI 1821448374

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1205944964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 ELDEN ST STE 1000",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704842",
            "telephone_number": "703-481-1505",
            "fax_number": "703-742-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 ELDEN ST STE 1000",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704842",
            "telephone_number": "703-481-1505",
            "fax_number": "703-742-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX FAMILY PRACTICE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-424-6338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fella Ezzekmi-Aksouh, PAC
• Jennifer Ann Fabian
• Joseph E Dunlap Facen
• Nicole Leonie Fainsan, MSPT
• Fairfax Family Practice (Afc Urgent Care and Family Care)
• Fairfax Family Practice Centers PC (Herndon Family Medicine)
• Fairfax Home Health Care, LLC
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC
• Fairfax Urgent Care Group

• Family Medicine Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.