Millenium Medical Corp
Organization Active NPI Family Medicine Physician · Woodbridge, VA
NPI 1740443183 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1740443183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MILLENIUM MEDICAL CORP
- Practice address
- 13168 Centerpointe Way Ste 101
Woodbridge, VA 22193-5287 - Phone
- (703) 730-2000
- Fax
- (703) 730-6767
- NPI assigned
- Jul 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Arun Kumar Sekaran
- Title
- Ceo
- Phone
- (703) 868-2713
Practitioners 47
-
Tanvi Beri, M.D.
-
Reena Rao Bommasani, M.D.
-
Manmohan K Gill, FNP
-
Lilian A Gobrial, DO
-
Lynn Grillo, NP
-
Dahlia Hassan, MD
-
Aqeel A. Jafri, M.D.
-
Manpreet Kaur, NP
-
Priya Murthy, M.D.
-
Zhobin Shoja, MD
-
Xinye Tanvir, FNP
-
Natalie Arias, PA-C
-
Soojin Kim, MD
-
Priyanka Kalidindi, M.B.B.S
-
Saad Karamat, MD
-
Zonaira S Memon, DO
-
Payam Mir, MD
-
Ezra M Morgan, M.D.
-
Yvette Urena-Peralta, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1063835 | Millennium Medical Corp | Certificate of waiver | Jan 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in VA, DC, AZ, GA, PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
24430 Stone Springs Blvd
Ste 135
Dulles, VA 20166
Phone (703) 404-5900
11213 Route 29
Ste H
Fairfax, VA 22030
Phone (703) 832-8023
1043 Sterling Rd
Ste 104
Herndon, VA 20170
Phone (703) 689-0111
1043 Sterling Rd
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
13168 Centerpointe Way
Ste 101
Woodbridge, VA 22193
Phone (703) 730-2000
13168 Centerpointe Way
Ste 1
Woodbridge, VA 22193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
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
- CareMed Family Practice
- Herndon Medical Care
- Hillendale Medical Care
- Hoadly Medical Care
- Millennium Medical Care
- Millennium Medical Care Fairfax
- Millennium Medical Care Herndon
- Millennium Medical Care Manassas
- Millennium Medical Care Stones Springs
- Millennium Medical Care Woodbridge
Other providers in Woodbridge, VA
- Jennifer Mijango
- Mike'S Home Medical
- Kimberly Ann Milam
- Steven Phillip Milgrim
- Milgrim&Associates
- Millennium Chiropractic PC
- Miller Chiropractic, Inc.
- Anna Elizabeth Miller
- Bethanne K Miller
- Eugenia Hall Miller
All providers in Woodbridge, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.