Active NPI
Chantilly Family Medicine LLC
- Family Medicine Physician
- Chantilly, VA
National Provider Identifier
1306106182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CHANTILLY FAMILY MEDICINE LLC
- Practice address
- 14113 Robert Paris CT
Chantilly, VA 20151-4200 - Phone
- (703) 956-6757
- Fax
- (855) 359-2261
- NPI assigned
- May 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kanika Govil, M.D.
- Title
- President
- Phone
- (703) 599-8463
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101242454 | VA | |
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
14113 Robert Paris CT
Chantilly, VA 20151-4200
Mailing address
14113 Robert Paris CT
Chantilly, VA 20151-4200
Phone (039) 566-7577
Other practice location 1
24430 Stone Springs Blvd Ste 315
Sterling, VA 20166-2268
Phone (571) 758-2350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2056929 | Chantilly Family Medicine | Certificate of waiver | Apr 4, 2027 |
| 49D2128567 | Chantilly Family Medicine, LLC | Certificate of waiver | Apr 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
14133 Robert Paris Ct
Chantilly, VA 20151
Phone (703) 956-6757
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Alexandria, VA
- NPI 1437503976
DC
-
- Adult Medicine Physician
- Chantilly, VA
- NPI 1790362150
-
- Pediatrics Physician
- Chantilly, VA
- NPI 1922009794
-
- Nurse Practitioner
- Chantilly, VA
- NPI 1205477791
-
- Pediatrics Physician
- Silver Spring, MD
- NPI 1619289386
-
- General Practice Physician
- Nokesville, VA
- NPI 1417901414
-
- Pediatrics Physician
- Fredericksburg, VA
- NPI 1164872370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1306106182",
"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": "039-566-7577",
"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 Ste 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": {
"organization_name": "CHANTILLY FAMILY MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-25",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "GOVIL",
"authorized_official_first_name": "KANIKA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-599-8463",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0101242454",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
- Bethany Nicole Chandonais, MA, CCC-SLP
- Anjali Chandra, MD
- Chantilly Chiropractic Center PC
- Chantilly Dental Arts Center PLLC
- Chantilly Dentist PC
- Chantilly Family Practice
- Chantilly Foot & Ankle Center, LLC
- Chantilly Modern Dentistry, PC
- Chantilly Specialists, LTD.
- Chantilly Specialists, LTD. of Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.