Family Immediate Care,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101244099 Issued in VA

Legal business name

FAMILY IMMEDIATE CARE,LLC

Practice address

420 Elden St
Herndon, VA 20170-4511

Phone

(571) 218-5788

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Phetpailin Amaralikit, M.D.NPI 1730356619

Title

President

Phone

(571) 218-5788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phetpailin Amaralikit, MD

  • Internal Medicine Physician
  • Herndon, VA
  • NPI 1730356619

  DC, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1962893974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 WINTERSET DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542845",
            "telephone_number": "571-218-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704511",
            "telephone_number": "571-218-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY IMMEDIATE CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "AMARALIKIT",
        "authorized_official_first_name": "PHETPAILIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-218-5788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Herndon, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.