Capital Area Physician Weight & Wellness Center, Inc

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

CAPITAL AREA PHYSICIAN WEIGHT & WELLNESS CENTER, INC

Practice address

2235 Cedar LN Ste 302
Vienna, VA 22182-5247

Phone

(703) 255-6010

Fax

(703) 255-6011

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sree Gogineni, MDNPI 1386603736

Title

President

Phone

(703) 593-9341

Specialties & licenses 1

Addresses

Other names 1

• Luminiv Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Capital Area Physician Weight & Wellness Center, Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Ashburn, VA
  • NPI 1255150025

  6406381441

  Same PAC ID
• Capital Area Physician Weight & Wellness Center, Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Waldorf, MD
  • NPI 1912726795

  6406381441

  Same PAC ID

Practitioners 2

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

• Sree Lakshmi Gogineni, M.D.

  • Obesity Medicine (Internal Medicine) Physician
  • Vienna, VA
  • NPI 1386603736

  DC

  Medicare reassignment NPD Authorized official
• Deborah Allis, PA

  • Physician Assistant
  • Vienna, VA
  • NPI 1487626255

  DC

  Medicare reassignment

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1316766181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44121 LEESBURG PIKE STE 250",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475674",
            "telephone_number": "703-255-6010",
            "fax_number": "703-255-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN STE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825247",
            "telephone_number": "703-255-6010",
            "fax_number": "703-255-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA PHYSICIAN WEIGHT & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "GOGINENI",
        "authorized_official_first_name": "SREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-593-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminiv Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luminiv Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Estefan Cancel
• Canmoor Weight Loss - Tysons LLC
• Amber Cantwell
• Nathan Cao
• Capital Area Internal Medicine, Inc.
• Capital Area Psychiatric SVC.
• Capital DME Inc
• Capital Esthetics and Family Dentistry PLC
• Capital Lung
• Capital Lung, PLLC

• Obesity Medicine (Internal Medicine) Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Obesity Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.