Lifetime Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIFETIME INTERNAL MEDICINE, PLLC

Practice address

2579 John Milton Dr Ste 300
Herndon, VA 20171-2500

Phone

(703) 828-0799

Fax

(571) 525-2963

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shalini Goyal Kaneriya, MDNPI 1699833400

Title

Physician, Owner

Phone

(703) 828-0799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18535/brand/1/csg/1/fhir/r4

Practitioners 4

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

• Shalini Goyal Kaneriya, MD

  • Internal Medicine Physician
  • Herndon, VA
  • NPI 1699833400

  DC

  Medicare reassignment Care Compare group Authorized official
• Julia T Lim, M.D.

  • Internal Medicine Physician
  • Tysons, VA
  • NPI 1962492793

  DC

  Medicare reassignment Care Compare group
• Ira Marathe, M.D.

  • Internal Medicine Physician
  • Herndon, VA
  • NPI 1861585374

  DC

  Medicare reassignment Care Compare group
• Nicole M. Papanicolas, NP

  • Nurse Practitioner
  • Falls Church, VA
  • NPI 1780179192
  NPD

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1346715141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR STE 300",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712500",
            "telephone_number": "703-828-0799",
            "fax_number": "571-525-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR STE 300",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712500",
            "telephone_number": "703-828-0799",
            "fax_number": "571-525-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "KANERIYA",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_middle_name": "GOYAL",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "703-828-0799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chantal Ann Lewis, OTD, OTR
• Lisa Xiang Li, MD
• Lily Home Healthcare, LLC
• Dayane Lima Joseph
• Jodie Lin, JD, CHC
• Lina Jameel DDS PLLC
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• Internal Medicine Physician in Herndon, VA
• Providers in Herndon, 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 Oct 2, 2019; 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.