TRIDENT MEDICAL GROUP LLC
NPI 1043984115
Internal Medicine in Lansdowne, VA

Active since August 03, 2021
19415 DEERFIELD AVE STE 103, LANSDOWNE, VA 20176(703) 509-9198 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2022, Aug 3, 2021 (2 updates tracked since 2021).

About Trident Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRIDENT MEDICAL GROUP LLC (NPI 1043984115) is a healthcare organization registered as an internal medicine in Lansdowne, Virginia and active in the NPI registry since August 2021. The organization maintains 2 additional practice locations and lists Naresh Bassi, President, as its authorized official.

NPPES Registry Identity

NPI1043984115
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRIDENT MEDICAL GROUP LLC
Location Address19415 DEERFIELD AVE STE 103Lansdowne, VA 20176-8470
Mailing Address42115 Pemberly CtChantilly, VA 20152-5982 · (703) 509-9198
Organization SubpartNo
Authorized OfficialNaresh BassiPresident · (703) 509-9198
Enumeration DateAugust 3, 2021
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
NPI 1043984115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19415 DEERFIELD AVE STE 103, Lansdowne, VA 20176

Secondary Practice Locations 2

Location 144045 Riverside PkwyLeesburg, VA 20176-5101 · Phone (703) 509-9198
Location 242115 Pemberly CtChantilly, VA 20152-5982 · Phone (703) 509-9198

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
19415 DEERFIELD AVE STE 103
LANSDOWNE, VA 20176
Clinic/Center (Primary Care)
19415 DEERFIELD AVE STE 103
LANSDOWNE, VA 20176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trident Medical Group LLC's NPI number?

The NPI number for Trident Medical Group LLC is 1043984115. It was assigned to this organization in the NPPES registry on August 3, 2021.

Where is Trident Medical Group LLC located?

Trident Medical Group LLC is located at 19415 Deerfield Ave Ste 103, Lansdowne, VA 20176. The listed phone number is (703) 509-9198.

What is Trident Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Trident Medical Group LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.