Organization Active NPI

Dulles Internal Medicine, PC

  • Medical Specialty Clinic/Center
  • Sterling, VA
National Provider Identifier
1891925509
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0101053071 Issued in VA
Legal business name
DULLES INTERNAL MEDICINE, PC
Practice address
22636 Glenn Dr Ste 101
Sterling, VA 20164-4442
Phone
(703) 444-3345
Fax
(703) 433-1583
NPI assigned
Jul 16, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Noriko S Hunter, M.D.NPI 1487732475
Title
President
Phone
(703) 444-3345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0101053071 VA Primary

Addresses

Primary practice location

22636 Glenn Dr Ste 101
Sterling, VA 20164-4442

Mailing address

22636 Glenn Dr Ste 101
Sterling, VA 20164-4442
Phone (703) 444-3345

National Provider Directory

National Provider Directory

Locations

22636 Glenn Dr
Ste 101
Sterling, VA 20164
Phone (703) 444-3345

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1891925509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22636 GLENN DR STE 101",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644442",
            "telephone_number": "703-444-3345",
            "fax_number": "703-433-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22636 GLENN DR STE 101",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644442",
            "telephone_number": "703-444-3345",
            "fax_number": "703-433-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULLES INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "NORIKO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-444-3345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101053071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.