Integrative Hyperbaric Nova LLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

INTEGRATIVE HYPERBARIC NOVA LLC

Practice address

19465 Deerfield Ave Ste 308
Leesburg, VA 20176-1701

Phone

(703) 938-1421

Fax

(703) 938-1424

NPI assigned

Dec 29, 2021

Organization subpart

Yes

Parent organization

VIRGINIA FUNCTIONAL MEDICINE, INCAs reported in NPPES

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

Authorized official

Name

Nathaniel David Goren

Title

C.O.O.

Phone

(703) 938-1421

Specialties & licenses 4

Addresses

Other names 1

• Virginia Functional Medicine Inc Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

Virginia Functional Medicine Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Virginia Functional Medicine, Inc

  • Internal Medicine Physician
  • Vienna, VA
  • NPI 1194011783
  NPPES parent name

Practitioners 2

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

• Rajesh N Mehra, DO

  • Primary Care Clinic/Center
  • Chantilly, VA
  • NPI 1992873400
  Medicare reassignment NPD
• Yvoune Kara Petrie, DC

  • Nutrition Chiropractor
  • Vienna, VA
  • NPI 1003051319
  NPD (past)

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1295495331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 308",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761701",
            "telephone_number": "571-595-2610",
            "fax_number": "703-938-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 308",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761701",
            "telephone_number": "703-938-1421",
            "fax_number": "703-938-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HYPERBARIC NOVA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA FUNCTIONAL MEDICINE, INC",
        "enumeration_date": "2021-12-29",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "GOREN",
        "authorized_official_first_name": "NATHANIEL DAVID",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "703-938-1421"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Functional Medicine Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Virginia Functional Medicine Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.