Manassas Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANASSAS INTERNAL MEDICINE PC

Practice address

8704 Rolling Rd
Manassas, VA 20110-4253

Phone

(703) 257-7749

Fax

(855) 254-4529

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Angela Shamel, CMOM,CMC

Title

Office Admin

Phone

(703) 257-7749

Specialties & licenses 1

Addresses

Other names 1

• Manassas Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEDCBD

Practitioners 5

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

• Yoojin Kwon, FNP-BC

  • Family Nurse Practitioner
  • Manassas, VA
  • NPI 1316669435
  Medicare reassignment NPD
• Rebeka Nazneen, ACNP-BC

  • Family Nurse Practitioner
  • Manassas, VA
  • NPI 1669173431

  Single Specialty

  Medicare reassignment NPD
• Young Kwan Kim, D.O.

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1932106911
  Medicare reassignment
• Sree Lakshmi Gogineni, M.D.

  • Obesity Medicine (Internal Medicine) Physician
  • Vienna, VA
  • NPI 1386603736
  NPD (past)
• Kimberley Dawn Ryan, FNP

  • Family Nurse Practitioner
  • Manassas, VA
  • NPI 1306040142
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1609804285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 ROLLING RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104253",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 ROLLING RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104253",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "SHAMEL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "703-257-7749",
        "authorized_official_credential": "CMOM,CMC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manassas Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manassas Foot Clinic Inc
• Manassas Foot Clinic PLLC
• Manassas Hands-on Physical Therapy and Sports Medicine Inc
• Manassas Health Care LLC
• Manassas Heart Center LLC
• Manassas Iop Inc
• Manassas Midwifery and Women'S Health Center
• Manassas Midwifery and Women'S Health Center
• Manassas Modern Dentistry PLLC
• Manassas Neurology Associates PLLC

• Internal Medicine Physician in Manassas, VA
• Providers in Manassas, 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 Jul 1, 2026; 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.