Organization Active NPI

Medico Family Clinic, Inc

  • Family Medicine Physician
  • Falls Church, VA
National Provider Identifier
1962825307
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101240975 Issued in VA
Legal business name
MEDICO FAMILY CLINIC, INC
Practice address
6231 Leesburg Pike Ste 200
Falls Church, VA 22044-2102
Phone
(703) 533-8872
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Dr. Jamal U Zia, MDNPI 1558407437
Title
Owner
Phone
(703) 533-8872

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101240975 VA Primary

Addresses

Primary practice location

6231 Leesburg Pike Ste 200
Falls Church, VA 22044-2102

Mailing address

6231 Leesburg Pike Ste 200
Falls Church, VA 22044-2102
Phone (703) 533-8872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180410000110 DC Part B Supplier - Clinic/Group Practice 1456614288 Receives reassigned benefits from 1 practitioner
Practice locations: Falls Church, VA

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
49D2238725Medico Family Clinic, Inc6231 Leesburg Pike Suite 200, Falls Church, VA 22044Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

2946 Sleepy Hollow Rd
Ste B
Falls Church, VA 22044
Phone (703) 417-9678

Practitioners & affiliated clinicians

Practitioners 1

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": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1962825307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-533-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-533-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICO FAMILY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "ZIA",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-533-8872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240975",
            "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 Aug 24, 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.