Organization Active NPI

Risen Medical Care Inc

  • Primary Care Clinic/Center
  • Reston, VA
National Provider Identifier
1386596674
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RISEN MEDICAL CARE INC
Practice address
1800 Town Center Dr Ste 220
Reston, VA 20190-3238
Phone
(703) 440-7000
Fax
(703) 440-7999
NPI assigned
Feb 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Mr. Ravi Kiran Pasunoori
Title
Vice President
Phone
(732) 762-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1800 Town Center Dr Ste 220
Reston, VA 20190-3238

Mailing address

23426 Shagbark Hickory LN
Aldie, VA 20105-4126
Phone (732) 762-5580

Other names 1

  • Millennium Medical Care Reston Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2339686Millennium Medical Care Reston1800 Town Center Dr, #220, Reston, VA 20190Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1386596674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23426 SHAGBARK HICKORY LN",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201054126",
            "telephone_number": "732-762-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 220",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903238",
            "telephone_number": "703-440-7000",
            "fax_number": "703-440-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISEN MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "PASUNOORI",
        "authorized_official_first_name": "RAVI KIRAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-762-5580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Medical Care Reston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.