Individual provider Active NPI

Kanika Govil, MD

  • Family Medicine Physician
  • Chantilly, VA
National Provider Identifier
1215026703
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116018148 Issued in VA
Practice address
14113 Robert Paris CT
Chantilly, VA 20151-4200
Phone
(703) 956-6757
Fax
(855) 359-2261
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116018148 VA Primary

Addresses

Primary practice location

14113 Robert Paris CT
Chantilly, VA 20151-4200

Mailing address

14113 Robert Paris CT
Chantilly, VA 20151-4200
Phone (703) 956-6757

Other practice location 1

24430 Stone Springs Blvd Unit 315
Sterling, VA 20166-2268
Phone (571) 758-2350

Other identifiers 1

IdentifierTypeStateIssuer
1215026703MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070209000449 DC Practitioner - Family Practice 8426050063 Reassigns benefits to 1 organization
I20091022000522 VA Practitioner - Family Practice 8426050063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chantilly Family Medicine LLCGroup PAC ID 0547424772, 2 clinicians

Practice addresses (Care Compare)

14113 Robert Paris CT
Chantilly, VA 20151-4200
Phone (703) 956-6757

24430 Stone Springs Blvd
Unit 315
Sterling, VA 20166-2268
Phone (571) 758-2350

Hospital & facility affiliations

  • Stonesprings Hospital Center Hospital, Dulles, VA, CCN 490145

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116018148VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chantilly Family Medicine LLC Family Medicine CurrentSince Apr 12, 2012 Accepting new patients
Nova Medical and Urgent Care Center, Inc. Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14113 Robert Paris Ct
Chantilly, VA 20151
Phone (703) 956-6757

14133 Robert Paris Ct
Chantilly, VA 20151
Phone (703) 956-6757

24430 Stone Springs Blvd
Ste 315
Sterling, VA 20166
Phone (571) 758-2330

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFGHBD/Endpoint/FFGHBD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1215026703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14113 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514200",
            "telephone_number": "703-956-6757",
            "fax_number": "855-359-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14113 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514200",
            "telephone_number": "703-956-6757",
            "fax_number": "855-359-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24430 Stone Springs Blvd Unit 315",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201662268",
            "country_code": "US",
            "telephone_number": "571-758-2350",
            "fax_number": "855-359-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOVIL",
        "first_name": "KANIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-05-23",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116018148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215026703",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.