Active NPI
Dolly Kooi Lent, M.D.
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1619979598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42249
- Practice address
- 4375 Fair Lakes CT
Fairfax, VA 22033-4234 - Phone
- (571) 432-2600
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101273457 | VA | |
| Internal Medicine Physician | 207R00000X | 42249 | CO | Primary |
Addresses
Primary practice location
4375 Fair Lakes CT
Fairfax, VA 22033-4234
Mailing address
Fairfax Health Center ,4375 Fair Lakes Court
Fairfax, VA 22033
Phone (571) 432-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01635522 | Medicaid | CO |
Other names 1
- Dr. Dolly Kooi Lent
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42249 | CO | MD | Internal Medicine Physician |
| 0101273457 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Doctors PC | Multi-Specialty | Past | Accepting new patients |
| Dr Arun K Gupta PC | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- dlent@3ef34f84.micromddirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1619979598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FAIRFAX HEALTH CENTER ,4375 FAIR LAKES COURT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22033",
"telephone_number": "571-432-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4375 FAIR LAKES CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220334234",
"telephone_number": "571-432-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENT",
"first_name": "DOLLY",
"middle_name": "KOOI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2025-06-13",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101273457",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "42249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01635522",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOLLY",
"last_name": "LENT",
"middle_name": "KOOI",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.