Organization Active NPI

Potomac Medical Center PC

  • Allergy & Immunology (Internal Medicine) Physician
  • Falls Church, VA
National Provider Identifier
1619078003
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
POTOMAC MEDICAL CENTER PC
Practice address
6404 Seven Corners Place
#G
Falls Church, VA 22044
Phone
(703) 237-2488
Fax
(703) 237-2492
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Richard Phay Tu, MDNPI 1104937358
Title
Secretary
Phone
(703) 237-2488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X Primary

Addresses

Primary practice location

6404 Seven Corners Place
#G
Falls Church, VA 22044

Mailing address

6404 Seven Corners PL
#G
Falls Church, VA 22044-2034
Phone (703) 237-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000042 DC Part B Supplier - Clinic/Group Practice 3678749173 Receives reassigned benefits from 3 practitioners
Practice locations: Falls Church, VA

National Provider Directory

National Provider Directory
Tax ID family
Potomac Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619078003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 SEVEN CORNERS PL",
            "address_2": "#G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442034",
            "telephone_number": "703-237-2488",
            "fax_number": "703-237-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 SEVEN CORNERS PLACE",
            "address_2": "#G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22044",
            "telephone_number": "703-237-2488",
            "fax_number": "703-237-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PHAY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-237-2488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.