Chantilly Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

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

Last updated

Aug 31, 2023By 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

Dr. Kanika Govil, M.D.NPI 1215026703

Title

President

Phone

(703) 599-8463

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

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.

• Kanika Govil, MD

  • Family Medicine Physician
  • Chantilly, VA
  • NPI 1215026703

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Aytan Mammadova, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Alexandria, VA
  • NPI 1437503976

  DC

  Medicare reassignment Care Compare group NPD
• Simranjit Gulati, DNP, FNP-BC

  • Family Nurse Practitioner
  • Chantilly, VA
  • NPI 1578198289

  DC

  Medicare reassignment NPD
• Asma Islam, M.D.

  • Family Medicine Physician
  • Centreville, VA
  • NPI 1184853806

  DC

  Medicare reassignment NPD
• Sharayu Sawant, MD

  • Family Medicine Physician
  • Purcellville, VA
  • NPI 1417160144

  DC

  Medicare reassignment NPD
• Nawal Alkharouf

  • Pediatrics Physician
  • Bothell, WA
  • NPI 1538339536

  VA

  Medicare reassignment
• Zainab Ahmadi

  • Adult Medicine Physician
  • Chantilly, VA
  • NPI 1790362150
  NPD
• Mangala H Pawar, MD

  • Pediatrics Physician
  • Chantilly, VA
  • NPI 1922009794
  NPD
• Rosy Pradhan, FNP-C

  • Nurse Practitioner
  • Chantilly, VA
  • NPI 1205477791
  NPD
• Obianuju Geraldine Nwoga, M.D.

  • Pediatrics Physician
  • Silver Spring, MD
  • NPI 1619289386
  NPD
• Philip William Barrere Jr., MD

  • General Practice Physician
  • Nokesville, VA
  • NPI 1417901414
  NPD (past)
• Jasmine K Virk, MD

  • Pediatrics Physician
  • Fredericksburg, VA
  • NPI 1164872370
  NPD (past)

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": []
}

• 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 Modern Dentistry)
• Chantilly Specialists, LTD.
• Chantilly Specialists, LTD. of Virginia

• Family Medicine Physician in Chantilly, VA
• Providers in Chantilly, 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 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.

Verify at the official NPI Registry.