Organization Active NPI

Millenium Medical Corp

Doing business as CareMed Family Practice

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1740443183
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MILLENIUM MEDICAL CORP
Doing business as
CareMed Family Practice
Herndon Medical Care
Hillendale Medical Care7 more in Other names
Practice address
13168 Centerpointe Way Ste 101
Woodbridge, VA 22193-5287
Phone
(703) 730-2000
Fax
(703) 730-6767
NPI assigned
Jul 7, 2008
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Mr. Arun Kumar Sekaran
Title
Ceo
Phone
(703) 868-2713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

13168 Centerpointe Way Ste 101
Woodbridge, VA 22193-5287

Mailing address

6356 Hoadly Rd
Manassas, VA 20112-3422
Phone (703) 590-5999

Other practice location 1

1043 Sterling Rd
Herndon, VA 20170-3866
Phone (703) 689-0111

Other practice location 2

6356 Hoadly Rd
Manassas, VA 20112-3422
Phone (703) 590-5999

Other practice location 3

24430 Stone Springs Blvd
Sterling, VA 20166-2267
Phone (703) 730-2000

Other practice location 4

11213 Lee Hwy Ste H
Fairfax, VA 22030-5698
Phone (703) 832-8023

Other names 10

  • CareMed Family Practice Doing business as
  • Herndon Medical Care Doing business as
  • Hillendale Medical Care Doing business as
  • Hoadly Medical Care Doing business as
  • Millennium Medical Care Doing business as
  • Millennium Medical Care Fairfax Doing business as
  • Millennium Medical Care Herndon Doing business as
  • Millennium Medical Care Manassas Doing business as
  • Millennium Medical Care Stones Springs Doing business as
  • Millennium Medical Care Woodbridge Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, AZ, GA, PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20090102000431 VA Part B Supplier - Clinic/Group Practice 9335201177 Receives reassigned benefits from 28 practitioners
Practice locations: Sterling, VA; Woodbridge, VA; Manassas, VA
O20140219000247 DC Part B Supplier - Clinic/Group Practice 9335201177 Receives reassigned benefits from 38 practitioners
Practice locations: Fairfax, VA; Herndon, VA; Reston, VA
O20210720001736 AZ Part B Supplier - Clinic/Group Practice 9335201177 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20210720002011 GA Part B Supplier - Clinic/Group Practice 9335201177 Receives reassigned benefits from 1 practitioner
Practice locations: Sandy Springs, GA
O20210720002135 PA Part B Supplier - Clinic/Group Practice 9335201177 Receives reassigned benefits from 1 practitioner
Practice locations: Penn Valley, PA

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
49D1063835Millennium Medical Corp13168 Centerpointe Way, Suite #101, Woodbridge, VA 22193Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Locations

11213 Route 29
Ste H
Fairfax, VA 22030
Phone (703) 832-8023

1043 Sterling Rd
Herndon, VA 20170
Phone (571) 412-0759

1043 Sterling Rd
Ste 104
Herndon, VA 20170
Phone (703) 689-0111

6356 Hoadly Rd
Manassas, VA 20112
Phone (703) 590-5999

6356 Hoadly Rd
Ste 101
Manassas, VA 20112

24430 Stone Springs Blvd
Ste 200
Sterling, VA 20166
Phone (571) 367-0000

24430 Stone Springs Blvd
Ste 230
Sterling, VA 20166
Phone (703) 730-2000

13168 Centerpointe Way
Ste 1
Woodbridge, VA 22193

13168 Centerpointe Way
Ste 101
Woodbridge, VA 22193
Phone (703) 730-2000

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1740443183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 HOADLY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123422",
            "telephone_number": "703-590-5999",
            "fax_number": "703-590-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13168 CENTERPOINTE WAY STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935287",
            "telephone_number": "703-730-2000",
            "fax_number": "703-730-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Sterling Rd",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201703866",
            "country_code": "US",
            "telephone_number": "703-689-0111",
            "fax_number": "703-689-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6356 Hoadly Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201123422",
            "country_code": "US",
            "telephone_number": "703-590-5999",
            "fax_number": "703-590-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24430 Stone Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201662267",
            "country_code": "US",
            "telephone_number": "703-730-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11213 Lee Hwy Ste H",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220305698",
            "country_code": "US",
            "telephone_number": "703-832-8023",
            "fax_number": "703-776-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLENIUM MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "SEKARAN",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-868-2713",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareMed Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Herndon Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hillendale Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hoadly Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Medical Care Fairfax",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Medical Care Herndon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Medical Care Manassas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Medical Care Stones Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium Medical Care Woodbridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.