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DULLES MEDICAL GROUP LLC
NPI 1053408732
Internal Medicine - Geriatric Medicine in Leesburg, VA

Active since October 06, 2006CLIA 49D0953835 · Waiver
224D CORNWALL ST NW, SUITE 303, LEESBURG, VA 20176(703) 777-8840(703) 779-0887 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dulles Medical Group Llc NPPES

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

DULLES MEDICAL GROUP LLC (NPI 1053408732) is a healthcare organization registered as a geriatric medicine in Leesburg, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Anil J Patel, President, as its authorized official.

NPPES Registry Identity

NPI1053408732
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameDULLES MEDICAL GROUP LLC
Location Address224D CORNWALL ST NW, SUITE 303Leesburg, VA 20176-2700
Mailing Address224d Cornwall St Nw, Suite 303Leesburg, VA 20176-2700 · (703) 777-8840 · Fax (703) 779-0887
Phone(703) 777-8840
Fax(703) 779-0887
Organization SubpartNo
Authorized OfficialAnil J PatelPresident · (703) 777-8840
Enumeration DateOctober 6, 2006
Last NPPES UpdateJanuary 15, 2009
✔ NPI 1053408732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in VA · 0101045895
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
224D CORNWALL ST NW, Leesburg, VA 20176
Open in Google Maps ↗

Other Identifiers 5

OtherA840-001VA · Carefirst
Other070317VA · Bluecross Blueshield
Medicare UPINE67340VA
Medicaid005842875VA
Medicare PIN110005318VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0953835

Dulles Medical Group · Leesburg, VA
Active · expires Nov 11, 2026
CLIA Number49D0953835
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorAnil J. Patel
Laboratory Phone(703) 777-8840
Laboratory LocationDulles Medical Group224 D Cornwall Street - Suite 303, Leesburg, VA 20176
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ANDREA M PYLE OTR-L
Occupational Therapist
224D CORNWALL ST NW, SUITE 200
LEESBURG, VA 20176
Loudoun County (703) 443-2223
ANN I MA MD
Internal Medicine (Gastroenterology)
224D CORNWALL ST NW, SUITE 207
LEESBURG, VA 20176
Loudoun County (703) 771-9001
DR. WILLIAM E KNUDSON JR. DPM
Podiatrist (Foot & Ankle Surgery)
224D CORNWALL ST NW, SUITE 203
LEESBURG, VA 20176
Loudoun County (703) 777-5830
DR. YOUNG DON PARK MD
Internal Medicine (Cardiovascular Disease)
224D CORNWALL ST NW, #306
LEESBURG, VA 20176
Loudoun County (703) 641-9161
SHAHLA WILLIAMS P.T.
Physical Therapist
224D CORNWALL ST NW, SUITE 200
LEESBURG, VA 20176
Loudoun County (703) 443-2223
LOUDOUN MEDICAL GROUP, PC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
224D CORNWALL ST NW, SUITE 204
LEESBURG, VA 20176
Loudoun County (703) 777-3262
MS. ANNE LOWERY LPTA
Physical Therapy Assistant
224D CORNWALL ST NW, SUITE 200
LEESBURG, VA 20176
Loudoun County (703) 443-2223
LOUDOUN MEDICAL GROUP, PC
Surgery (Plastic and Reconstructive Surgery)
224D CORNWALL ST NW, SUITE 304
LEESBURG, VA 20176
Loudoun County (703) 858-3208

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 Dulles Medical Group LLC's NPI number?

The NPI number for Dulles Medical Group LLC is 1053408732. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Dulles Medical Group LLC located?

Dulles Medical Group LLC is located at 224D Cornwall St NW Suite 303, Leesburg, VA 20176. The listed phone number is (703) 777-8840.

What is Dulles Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Dulles Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0953835) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dulles Medical Group LLC was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.