Nova Pain Management Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NOVA PAIN MANAGEMENT CENTER INC

Doing business as

NOVA MEDICAL CENTER

Practice address

11240 Waples Mill Rd Ste 300
Fairfax, VA 22030-6078

Phone

(703) 752-4623

Fax

(703) 762-9978

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Sun Lee

Title

Owner

Phone

(703) 296-7695

Specialties & licenses 1

Addresses

Other names 1

• NOVA MEDICAL CENTER Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John K. Kim, M.D.

  • Internal Medicine Physician
  • Annandale, VA
  • NPI 1053472159

  DC

  Medicare reassignment NPD
• Yeo Lim Kim

  • Registered Nurse
  • Arlington, VA
  • NPI 1053923706

  DC

  Medicare reassignment NPD
• Min Park, NP

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1619826476

  DC

  Medicare reassignment NPD
• Sophia Chang, NP

  • Acute Care Nurse Practitioner
  • Annandale, VA
  • NPI 1558104117
  NPD (past)
• Peter Joseph Delenick, MD

  • Orthopaedic Surgery Physician
  • Danville, VA
  • NPI 1316132897
  NPD (past)

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1245812825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "703-752-4623",
            "fax_number": "703-762-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 WAPLES MILL RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306078",
            "telephone_number": "703-752-4623",
            "fax_number": "703-762-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PAIN MANAGEMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-296-7695"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PracticeFusion",
            "address_1": "7700 Little River Tpke Ste 102A",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220032400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NOVA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nova Lifecare LLC Dba Evergrove Home Care
• Nova Medical Transport LLC
• Nova Neurosciences LLC
• Nova Nurses Home Care Agency, LLC
• Nova Oncology Associates, PC
• Nova Physician Wellness Center PLLC
• Nova Premier Eyecare
• Nova Premier Eyecare, P.C.
• Nova Professional Home Health Care LLC
• Nova Psych & Wellness

• Internal Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.